Provider Demographics
NPI:1417970039
Name:ON TIME HOME HEALTH PROVIDERS INC
Entity Type:Organization
Organization Name:ON TIME HOME HEALTH PROVIDERS INC
Other - Org Name:ON TIME HOME HEALTH AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMBROSE
Authorized Official - Middle Name:U
Authorized Official - Last Name:NZEAKOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-321-8100
Mailing Address - Street 1:8035 EAST R L THORNTON FREEWAY 221
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-7018
Mailing Address - Country:US
Mailing Address - Phone:214-321-8100
Mailing Address - Fax:214-321-8102
Practice Address - Street 1:8035 E R L THORNTON FWY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-7018
Practice Address - Country:US
Practice Address - Phone:214-321-8100
Practice Address - Fax:214-321-8102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010582251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX010582OtherLICENSED HOME HEALTH