MEDICARE: ON TIME HOME HEALTH SERVICES

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261Q00000X	Clinic/Center
2	261QA0600X	Adult Day Care Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
4	261QM0855X	Adolescent and Children Mental Health Clinic/Center
5	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
6	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1801672662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ON TIME HOME HEALTH SERVICES

Provider Business Mailing 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	:

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	:	CEO
Name	:	DEBORAH AZUINE
Credential	:
Telephone Number	:	240-429-2874

Provider Enumeration Date	:	09/06/2023
Last Update Date	:	09/06/2023

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Directions to “ON TIME HOME HEALTH SERVICES ” Practice Location

Language	Start Address	Practice Location

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