Provider Demographics
NPI:1588314538
Name:ON TIME CARE LLC
Entity type:Organization
Organization Name:ON TIME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MONTAG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-208-3327
Mailing Address - Street 1:1650 S DIXIE HWY STE 303
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33432-7461
Mailing Address - Country:US
Mailing Address - Phone:551-284-2847
Mailing Address - Fax:732-579-5485
Practice Address - Street 1:1650 S DIXIE HWY STE 303
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33432-7461
Practice Address - Country:US
Practice Address - Phone:551-284-2847
Practice Address - Fax:732-579-5485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-24
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty