MEDICARE: PREFERRED CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1023573649
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED CARE INC

Provider Business Mailing Address
First Line	:	1775 BROADWAY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-1611
Country	:	US
Telephone Number	:	718-552-2575
Fax Number	:	718-552-2574

Provider Business Practice Location Address
First Line	:	1775 BROADWAY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-1611
Country	:	US
Telephone Number	:	718-552-2575
Fax Number	:	718-552-2574

Authorized Official
Title or Position	:	MANAGER
Name	:	NONNA SAFANOVA
Credential	:
Telephone Number	:	718-552-2575

Provider Enumeration Date	:	02/07/2019
Last Update Date	:	02/07/2019

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