Healthcare Provider Details

I. General information

NPI: 1730293614
Provider Name (Legal Business Name): PREFERRED HOSPICE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 GLENWOOD ST
CEDAR BLUFF VA
24609-9440
US

IV. Provider business mailing address

128 GLENWOOD ST
CEDAR BLUFF VA
24609-9440
US

V. Phone/Fax

Practice location:
  • Phone: 276-596-9181
  • Fax: 276-596-9182
Mailing address:
  • Phone: 276-596-9181
  • Fax: 276-596-9182

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: TAMMIE SHELTON VENCILL
Title or Position: ADMINISTRATOR
Credential:
Phone: 276-596-9181