Organization Active NPI

Senior Preferred Homecare LLC

  • Home Health Agency
  • Austin, TX
National Provider Identifier
1114248705
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
013558 Issued in TX
Legal business name
SENIOR PREFERRED HOMECARE LLC
Practice address
223 W Anderson LN Ste A115
Austin, TX 78752-1212
Phone
(512) 800-8911
Fax
(512) 777-5044
NPI assigned
Jun 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ryan W Kim
Title
Cfo
Phone
(512) 284-7757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 013558 TX Primary

Addresses

Primary practice location

223 W Anderson LN Ste A115
Austin, TX 78752-1212

Mailing address

223 W Anderson LN Ste A115
Austin, TX 78752-1212
Phone (512) 800-8911

Other names 1

  • Farmers Homecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110510000333 TX Part A Provider - Home Health Agency 4082890066 Practice locations: Austin, TX

Home health agency certification: CCN 747636

Legal name
SENIOR PREFERRED HOMECARE LLC
Doing business as
FARMERS HOMECARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 8, 2011
Last certification
Apr 1, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 7, 2010 in TX
Enrollment address
223 W Anderson LN
Ste A115
Austin, TX 78752-1212

Care Compare: Home health agency

Medicare Care Compare
Listed as
Farmers HomecareCCN 747636
Ownership
Proprietary
Certified
Dec 8, 2011
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2011144Senior Preferred Homecare LLC223 W Anderson LN, Suite A115, Austin, TX 78752Certificate of waiverAug 11, 2026

National Provider Directory

National Provider Directory

Locations

223 W Anderson Ln
Ste A115
Austin, TX 78752
Phone (512) 800-8588

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Ryan W Kim Individual 5% Or Greater Direct Ownership InterestAdministrator Nov 8, 2019 100%
Corporate Director Nov 8, 2019
W-2 Managing Employee Nov 8, 2019
Son Terry Individual Corporate OfficerAdministrator Sep 1, 2023
W-2 Managing EmployeeAd; Sep 1, 2023

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1114248705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W ANDERSON LN STE A115",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521212",
            "telephone_number": "512-800-8911",
            "fax_number": "512-777-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W ANDERSON LN STE A115",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787521212",
            "telephone_number": "512-800-8911",
            "fax_number": "512-777-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR PREFERRED HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "512-284-7757"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "013558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Farmers Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.