Active NPI
On Time Health Care, Inc.
- Home Health Agency
- Glendale, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ON TIME HEALTH CARE, INC.
- Practice address
- 126 S Jackson St
#206
Glendale, CA 91205-4922 - Phone
- (818) 696-2612
- Fax
- (818) 696-2613
- NPI assigned
- Jun 8, 2016
- Last updated
- Jun 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Zaroui Dadurian
- Title
- President/Ceo
- Phone
- (818) 696-2612
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
126 S Jackson St
#206
Glendale, CA 91205-4922
Mailing address
126 S Jackson St
#206
Glendale, CA 91205-4922
Phone (818) 696-2612
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161202000231 | CA | Part A Provider - Home Health Agency | 1850671140 | Practice locations: Glendale, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1932558103. Details of each certification follow.
Home health agency certification: CCN 553149
- Legal name
- ON TIME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 4, 2018
- Last certification
- Sep 4, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Enrollment address
- 126 S Jackson St
Ste 206
Glendale, CA 91205-4920
Care Compare: Home health agency
Medicare Care Compare- Listed as
- On Time Health Care, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Sep 4, 2018
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2148804 | On Time Health Care Inc | Certificate of waiver | May 17, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 1
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Benik Badalian | 5% Or Greater Direct Ownership Interest | Oct 6, 2016 | 100% |
| Corporate Officer | Oct 29, 2015 | 100% | |
| Corporate Director | Oct 29, 2015 | 100% | |
| W-2 Managing Employee | Oct 29, 2015 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Pittsburgh, PA
- NPI 1356581201
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465344000000",
"number": "1932558103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 S JACKSON ST",
"address_2": "#206",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912054922",
"telephone_number": "818-696-2612",
"fax_number": "818-696-2613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 S JACKSON ST",
"address_2": "#206",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912054922",
"telephone_number": "818-696-2612",
"fax_number": "818-696-2613"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ON TIME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-08",
"last_updated": "2016-06-08",
"status": "A",
"authorized_official_last_name": "DADURIAN",
"authorized_official_first_name": "ZAROUI",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "818-696-2612",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.