Provider Demographics
NPI:1821492828
Name:PREFERRED HOME CARE, LLC
Entity Type:Organization
Organization Name:PREFERRED HOME CARE, LLC
Other - Org Name:PREFERRED HOME HEALTH CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:DOYLE
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:203-577-6696
Mailing Address - Street 1:687 STRAITS TPKE
Mailing Address - Street 2:SUITE 1C
Mailing Address - City:MIDDLEBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06762-2846
Mailing Address - Country:US
Mailing Address - Phone:203-577-6696
Mailing Address - Fax:203-577-6698
Practice Address - Street 1:687 STRAITS TPKE
Practice Address - Street 2:SUITE 1C
Practice Address - City:MIDDLEBURY
Practice Address - State:CT
Practice Address - Zip Code:06762-2846
Practice Address - Country:US
Practice Address - Phone:203-577-6696
Practice Address - Fax:203-577-6698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-20
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
077267Medicare Oscar/Certification