Provider Demographics
NPI:1104032200
Name:HOME PREFERRED HOME CARE, LTD.
Entity Type:Organization
Organization Name:HOME PREFERRED HOME CARE, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:J
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-491-1805
Mailing Address - Street 1:4915 FULTON DR NW
Mailing Address - Street 2:UNIT #6
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2397
Mailing Address - Country:US
Mailing Address - Phone:330-491-1805
Mailing Address - Fax:330-491-1809
Practice Address - Street 1:4915 FULTON DR NW
Practice Address - Street 2:UNIT #6
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44718-2397
Practice Address - Country:US
Practice Address - Phone:330-491-1805
Practice Address - Fax:330-491-1809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health