Provider Demographics
NPI:1679562458
Name:PREFERRED HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:PREFERRED HOME HEALTH CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:ALBRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-631-8214
Mailing Address - Street 1:800 YARD ST STE 300
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-3882
Mailing Address - Country:US
Mailing Address - Phone:614-866-8158
Mailing Address - Fax:614-866-8160
Practice Address - Street 1:6920 PARKDALE PLACE
Practice Address - Street 2:STE 110
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-9558
Practice Address - Country:US
Practice Address - Phone:317-245-7236
Practice Address - Fax:317-245-7280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-14
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
IN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200231350AMedicaid
IN15D0678755OtherCLIA LICENSE
157318Medicare UPIN