Provider Demographics
NPI:1780675389
Name:PREFERRED HOME HEALTH PROVIDERS, INC.
Entity type:Organization
Organization Name:PREFERRED HOME HEALTH PROVIDERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-375-1094
Mailing Address - Street 1:PO BOX 1017
Mailing Address - Street 2:
Mailing Address - City:DICKSON
Mailing Address - State:TN
Mailing Address - Zip Code:37056-1017
Mailing Address - Country:US
Mailing Address - Phone:615-375-1094
Mailing Address - Fax:352-589-5810
Practice Address - Street 1:3261 US HIGHWAY 441/27 STE E2
Practice Address - Street 2:
Practice Address - City:FRUITLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:34731-4494
Practice Address - Country:US
Practice Address - Phone:325-589-5854
Practice Address - Fax:352-589-5810
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992215251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108261Medicare Oscar/Certification