MEDICARE: ON TIME HOME HEALTH SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QR0400X	Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1720638430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ON TIME HOME HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	8700 CENTRAL AVE STE 207
Second Line	:
City	:	LANDOVER
State	:	MD
Zip	:	20785-4868
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 CENTRAL AVE STE 207
Second Line	:
City	:	LANDOVER
State	:	MD
Zip	:	20785-4868
Country	:	US
Telephone Number	:	301-433-8068
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DEBORAH AZUINE
Credential	:
Telephone Number	:	240-429-2874

Provider Enumeration Date	:	09/14/2019
Last Update Date	:	06/10/2024

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Directions to “ON TIME HOME HEALTH SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

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