Organization Active NPI

On Time Health Care, Inc.

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1932558103
Registry record updated Jun 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2016

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
Enrollment address
126 S Jackson St
Ste 206
Glendale, CA 91205-4920
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
On Time Health Care, IncCCN 553149 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Sep 4, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2148804On Time Health Care Inc126 S Jackson Street Ste 206, Glendale, CA 91205Certificate of waiverMay 17, 2028

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Benik Badalian Individual 5% Or Greater Direct Ownership Interest Oct 6, 2016 100%
Corporate OfficerCeo/Cfo/Secretary Oct 29, 2015 100%
Corporate DirectorCeo/Cfo/Secretary Oct 29, 2015 100%
W-2 Managing EmployeeCeo/Cfo/Secretary Oct 29, 2015 100%

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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

Verify at the official NPI Registry.