Provider Demographics
NPI:1740210475
Name:ON THE WAY HOME CARE, INC
Entity type:Organization
Organization Name:ON THE WAY HOME CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT - CEO
Authorized Official - Prefix:
Authorized Official - First Name:LLOYD
Authorized Official - Middle Name:KIRK
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-602-9350
Mailing Address - Street 1:4005 NW 114TH AVE UNIT 4
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33178-4372
Mailing Address - Country:US
Mailing Address - Phone:305-591-5691
Mailing Address - Fax:305-591-5868
Practice Address - Street 1:4005 NW 114TH AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33178
Practice Address - Country:US
Practice Address - Phone:305-591-5691
Practice Address - Fax:305-591-5868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2025-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992340251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL651330100Medicaid
FL108394Medicare Oscar/Certification