Provider Demographics
NPI:1982944104
Name:PREFERRED CHOICE HOME CARE LLC
Entity Type:Organization
Organization Name:PREFERRED CHOICE HOME CARE LLC
Other - Org Name:PREFERRED CHOICE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:ABDIRAHMAN
Authorized Official - Last Name:MUHUMUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-997-4344
Mailing Address - Street 1:7668 150TH ST W
Mailing Address - Street 2:SUITE 202
Mailing Address - City:APPLE VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55124-7193
Mailing Address - Country:US
Mailing Address - Phone:952-997-4344
Mailing Address - Fax:952-997-4347
Practice Address - Street 1:7668 150TH ST W
Practice Address - Street 2:SUITE 202
Practice Address - City:APPLE VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55124-7193
Practice Address - Country:US
Practice Address - Phone:952-997-4344
Practice Address - Fax:952-997-4347
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health