=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184885113
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A-1 PREFERRED SOURCES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/23/2008
-----------------------------------------------------
Last Update Date | 09/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2500 CORPORATE EXCHANGE DR STE 220
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43231-7601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-268-3800
-----------------------------------------------------
Fax | 614-261-3168
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2500 CORPORATE EXCHANGE DR STE 220
-----------------------------------------------------
City | COLUMBUS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43231-7601
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-268-3800
-----------------------------------------------------
Fax | 614-261-3168
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO
-----------------------------------------------------
Name | RICHARD KELLER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 917-763-6945
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 411538
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------