Provider Demographics
NPI:1467446302
Name:PREFERRED HOME CARE INC.
Entity Type:Organization
Organization Name:PREFERRED HOME CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:STACY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STAMATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-433-6408
Mailing Address - Street 1:6116 STRAUSS RD
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14094-5816
Mailing Address - Country:US
Mailing Address - Phone:716-433-6408
Mailing Address - Fax:716-438-5122
Practice Address - Street 1:6116 STRAUSS RD
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:NY
Practice Address - Zip Code:14094-5816
Practice Address - Country:US
Practice Address - Phone:716-433-6408
Practice Address - Fax:716-438-5122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000551257001OtherBLUE CROSS BLUE SHIELD
NY01855403Medicaid
NY00011399901OtherUNIVERA HEALTHCARE
NY8390089OtherINDEPENDENT HEALTH
NY1225400001Medicare NSC