MEDICARE: PREFERRED MOBILE NURSES, INC.

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
2	251E00000X	Home Health Agency	1003RW	CO
3	251E00000X	Home Health Agency	0403KK	CO

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
2	237581	OTHER	CO	GENTIVA-CARE CENTRIX
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	72650	OTHER	CO	BCBS-FEDERAL
5	170348	OTHER	CO	APRIA HEALTHCARE
6	AN91905740001	OTHER	CO	CIGNA
7	672650	OTHER	CO	BCBS-COLORADO

General Provider Information

NPI Number	:	1548389836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED MOBILE NURSES, INC.

Provider Business Mailing Address
First Line	:	2802 MADISON SQUARE DRIVE
Second Line	:	SUITE 100
City	:	LOVELAND
State	:	CO
Zip	:	80538-3396
Country	:	US
Telephone Number	:	970-776-1970
Fax Number	:	970-776-1980

Provider Business Practice Location Address
First Line	:	2802 MADISON SQUARE DRIVE
Second Line	:	SUITE 100
City	:	LOVELAND
State	:	CO
Zip	:	80538-3396
Country	:	US
Telephone Number	:	970-776-1970
Fax Number	:	970-776-1980

Authorized Official
Title or Position	:	PRESIDENT
Name	:	EMILY JOHNSON
Credential	:
Telephone Number	:	970-776-1970

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	07/10/2024

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