Provider Demographics
NPI:1669830907
Name:PREFERRED HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:PREFERRED HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABIGAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:FOSU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:513-652-1797
Mailing Address - Street 1:6660 DIXIE HWY STE 202
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45014-2237
Mailing Address - Country:US
Mailing Address - Phone:513-889-4457
Mailing Address - Fax:513-816-7634
Practice Address - Street 1:6660 DIXIE HWY STE 202
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:OH
Practice Address - Zip Code:45014-2237
Practice Address - Country:US
Practice Address - Phone:513-889-4457
Practice Address - Fax:513-816-7634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2310225251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health