Provider Demographics
NPI:1326435090
Name:PREFERENCE CARE
Entity Type:Organization
Organization Name:PREFERENCE CARE
Other - Org Name:PREFERENCE HOME HEALTH CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:PREFERENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:IYEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-768-2468
Mailing Address - Street 1:PO BOX 11651
Mailing Address - Street 2:
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06703-0651
Mailing Address - Country:US
Mailing Address - Phone:203-768-2468
Mailing Address - Fax:
Practice Address - Street 1:58 CHARTER AVE
Practice Address - Street 2:
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06705-3014
Practice Address - Country:US
Practice Address - Phone:203-768-2468
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization