Provider Demographics
NPI:1023261013
Name:PREFERRED CHOICE HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:PREFERRED CHOICE HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:KASSAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-336-8691
Mailing Address - Street 1:26711 WOODWARD AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:HUNTINGTON WOODS
Mailing Address - State:MI
Mailing Address - Zip Code:48070-1333
Mailing Address - Country:US
Mailing Address - Phone:248-336-8691
Mailing Address - Fax:248-336-8692
Practice Address - Street 1:26711 WOODWARD AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:HUNTINGTON WOODS
Practice Address - State:MI
Practice Address - Zip Code:48070-1333
Practice Address - Country:US
Practice Address - Phone:248-336-8691
Practice Address - Fax:248-336-8692
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-04
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health