=====================================================
General NPI Number Information
=====================================================
NPI Number | 1093762841
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOME PREFERRED HOME HEALTH LTD
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/27/2006
-----------------------------------------------------
Last Update Date | 10/18/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4491 DARROW RD SUITE 2
-----------------------------------------------------
City | STOW
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44224-1854
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-686-9900
-----------------------------------------------------
Fax | 330-686-9908
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4491 DARROW RD SUITE 2
-----------------------------------------------------
City | STOW
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44224-1854
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-686-9900
-----------------------------------------------------
Fax | 330-686-9908
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EXECUTIVE DIRECTOR
-----------------------------------------------------
Name | LYNNSEY CANDELLA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 330-686-9900
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------