Healthcare Provider Details

I. General information

NPI: 1528464062
Provider Name (Legal Business Name): PHYSICIANS PREFERRED HOMECARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2014
Last Update Date: 09/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 JAMES ST SUITE 214
WORCESTER MA
01603-1026
US

IV. Provider business mailing address

65 JAMES ST SUITE 214
WORCESTER MA
01603-1026
US

V. Phone/Fax

Practice location:
  • Phone: 774-243-6475
  • Fax: 774-243-6476
Mailing address:
  • Phone: 774-243-6475
  • Fax: 774-243-6475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: STEPHEN MUCHIRI
Title or Position: CEO
Credential:
Phone: 774-243-6475