Provider Demographics
NPI:1811154495
Name:PREFERRED CHOICE HOME HEALTH CARE SERVICES, LLC
Entity type:Organization
Organization Name:PREFERRED CHOICE HOME HEALTH CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCKENNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:248-476-4727
Mailing Address - Street 1:20270 MIDDLEBELT RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-2000
Mailing Address - Country:US
Mailing Address - Phone:248-476-4727
Mailing Address - Fax:248-476-4739
Practice Address - Street 1:20270 MIDDLEBELT RD
Practice Address - Street 2:SUITE 5
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-2000
Practice Address - Country:US
Practice Address - Phone:248-476-4727
Practice Address - Fax:248-476-4739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-21
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
239015Medicare Oscar/Certification