MEDICARE: PREFERRED HOME CARE

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	251E00000X	Home Health Agency	758805	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0000574000	OTHER	PA	PERSONAL CHOICE
2	0009024000	OTHER	PA	PERSONAL CHOICE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	2135255	OTHER	PA	AETNA
6	30789	OTHER	PA	HEALTH PARTNERS
7	1029648	OTHER	PA	KEYSTONE MERCY HEALTH PLA
8	0000574000	OTHER	PA	KEYSTONE HEALTH PLAN EAST
9	0001437000	OTHER	PA	INDEPENDENCE BLUE CROSS
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	0009024000	OTHER	PA	KEYSTONE HEALTH PLAN EAST
12	0146395602	OTHER	PA	AMERICHOICE OF PA

General Provider Information

NPI Number	:	1346243763
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED HOME CARE

Provider Business Mailing Address
First Line	:	741 N 24TH ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19130-2539
Country	:	US
Telephone Number	:	215-763-2265
Fax Number	:	215-763-3417

Provider Business Practice Location Address
First Line	:	741 N 24TH ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19130-2539
Country	:	US
Telephone Number	:	215-763-2265
Fax Number	:	215-763-3417

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. LINDA MARIE HESSON
Credential	:	RN
Telephone Number	:	215-763-2265

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	03/07/2008

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1700888500 — MOHAMMAD AZHER SAYEED MD
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Directions to “PREFERRED HOME CARE ” Practice Location

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