Provider Demographics
NPI:1922099480
Name:PREFERRED MEDICAL PARTNERS, INC
Entity Type:Organization
Organization Name:PREFERRED MEDICAL PARTNERS, INC
Other - Org Name:PREFERRED HOME HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAT
Authorized Official - Middle Name:
Authorized Official - Last Name:NWANKWO
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:781-961-3737
Mailing Address - Street 1:22 MARION ST
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-2437
Mailing Address - Country:US
Mailing Address - Phone:781-961-3737
Mailing Address - Fax:781-961-3747
Practice Address - Street 1:22 MARION ST
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-2437
Practice Address - Country:US
Practice Address - Phone:781-961-3737
Practice Address - Fax:781-961-3747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-03
Last Update Date:2007-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0600423Medicaid
MA227482Medicare ID - Type Unspecified