MEDICARE: PREFERRED HOME CARE LLC

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	R2479	MD
2	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053455162
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED HOME CARE LLC

Provider Business Mailing Address
First Line	:	4134 E JOPPA RD
Second Line	:	SUITE 202
City	:	BALTIMORE
State	:	MD
Zip	:	21236-2284
Country	:	US
Telephone Number	:	410-248-9800
Fax Number	:	410-248-9801

Provider Business Practice Location Address
First Line	:	4211 BLAKELY AVENUE
Second Line	:	SUITE 200
City	:	BALTIMORE
State	:	MD
Zip	:	21236-2258
Country	:	US
Telephone Number	:	410-248-9800
Fax Number	:	410-248-9801

Authorized Official
Title or Position	:	CFO
Name	:	MR. RONALD D JONES
Credential	:
Telephone Number	:	410-248-9800

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	12/10/2024

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Directions to “PREFERRED HOME CARE LLC ” Practice Location

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