Provider Demographics
NPI:1740504331
Name:PREFERRED HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:PREFERRED HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARDAR
Authorized Official - Middle Name:W
Authorized Official - Last Name:ASHRAFKHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-323-4444
Mailing Address - Street 1:148 S MAIN ST
Mailing Address - Street 2:SUITE 103-C
Mailing Address - City:MOUNT CLEMENS
Mailing Address - State:MI
Mailing Address - Zip Code:48043-7900
Mailing Address - Country:US
Mailing Address - Phone:586-493-5956
Mailing Address - Fax:586-493-9709
Practice Address - Street 1:148 S MAIN ST
Practice Address - Street 2:103 C
Practice Address - City:MOUNT CLEMENS
Practice Address - State:MI
Practice Address - Zip Code:48043-7900
Practice Address - Country:US
Practice Address - Phone:586-493-5956
Practice Address - Fax:586-493-9709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-25
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI237457Medicare Oscar/Certification