Healthcare Provider Details

I. General information

NPI: 1306313911
Provider Name (Legal Business Name): HOME CARE ON TIME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2018
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 W 84TH ST STE 402A
HIALEAH FL
33016-5773
US

IV. Provider business mailing address

2300 W 84TH ST STE 402A
HIALEAH FL
33016-5773
US

V. Phone/Fax

Practice location:
  • Phone: 786-953-7747
  • Fax: 786-953-7779
Mailing address:
  • Phone: 786-953-7747
  • Fax: 786-953-7779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: MR. MICHAEL MENDEZ
Title or Position: PRESIDENT, ADMINISTRATOR
Credential:
Phone: 786-953-7747