On Time Health Services

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

352742 Issued in MN

Legal business name

ON TIME HEALTH SERVICES

Practice address

7936 Lad Pkwy
Brooklyn Park, MN 55443-2860

Phone

(763) 377-2441

NPI assigned

Aug 5, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Kristi Moore

Title

Administrator

Phone

(763) 377-2441

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312502400000",
    "number": "1952680118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7936 LAD PKWY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432860",
            "telephone_number": "763-377-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7936 LAD PKWY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554432860",
            "telephone_number": "763-377-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON TIME HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "763-377-2441",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "MN",
            "license": "352742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A143132000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nursing Care Agency in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Nursing Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.