Provider Demographics
NPI:1306593983
Name:ON TIME CARE LLC
Entity type:Organization
Organization Name:ON TIME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELTAYEB
Authorized Official - Middle Name:
Authorized Official - Last Name:HASHIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-965-2150
Mailing Address - Street 1:9900 WESTPARK DR STE 108
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5278
Mailing Address - Country:US
Mailing Address - Phone:832-781-7313
Mailing Address - Fax:
Practice Address - Street 1:9900 WESTPARK DR STE 108
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5278
Practice Address - Country:US
Practice Address - Phone:183-278-1731
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-03
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1306593983Medicaid