Active NPI
Preferential Home Health Care Inc
- Durable Medical Equipment & Medical Supplies
- Blytheville, AR
National Provider Identifier
1366401192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PREFERENTIAL HOME HEALTH CARE INC
- Doing business as
- HEARTLAND HOME HEALTH CARE
- Practice address
- 1818A S Division St
Blytheville, AR 72315-5126 - Phone
- (870) 762-1151
- Fax
- (870) 763-0894
- NPI assigned
- Mar 21, 2006
- Organization subpart
- Yes
- Parent organization
- ROTECH HEALTHCARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Robin L Menchen
- Title
- Chief Executive Officer
- Phone
- (407) 822-4600
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Customized Equipment (DME) | 332BC3200X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | |||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
1818A S Division St
Blytheville, AR 72315-5126
Mailing address
PO Box 27968
Salt Lake City, UT 84127-0968
Phone (407) 246-1226
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366401192 | Medicaid | MO | |
| 230880737 | Medicaid | AR | |
| 131112716 | Medicaid | AR |
Other names 1
- HEARTLAND HOME HEALTH CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930064445 | AR | DME Supplier - Medical Supply Company | 5991823098 | Practice locations: Blytheville, AR |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Kennett, MO
- NPI 1376502302
5991823098
National Provider Directory
National Provider Directory- Tax ID family
- Heartland Home Care --
- Part of
- Rotech Healthcare Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Kennett, MO
- NPI 1376502302
Locations
1818A S Division St
Blytheville, AR 72315
Phone (870) 762-1151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711929600000",
"number": "1366401192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27968",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270968",
"telephone_number": "407-246-1226",
"fax_number": "407-648-2297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818A S DIVISION ST",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723155126",
"telephone_number": "870-762-1151",
"fax_number": "870-763-0894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREFERENTIAL HOME HEALTH CARE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ROTECH HEALTHCARE INC",
"enumeration_date": "2006-03-21",
"last_updated": "2024-04-01",
"certification_date": "2024-04-01",
"status": "A",
"authorized_official_last_name": "MENCHEN",
"authorized_official_first_name": "ROBIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "407-822-4600",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BC3200X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366401192",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "230880737",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131112716",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HEARTLAND HOME HEALTH CARE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "HEARTLAND HOME HEALTH CARE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Blytheville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.