Preferred Care Haven LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PREFERRED CARE HAVEN LLC

Practice address

109 Lincoln Ave
Pawtucket, RI 02861-3546

Phone

(857) 308-9491

NPI assigned

Feb 10, 2025

Organization subpart

No

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

Authorized official

Name

Glory Izekor

Title

Ceo

Phone

(857) 308-9491

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1801601521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LINCOLN AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028613546",
            "telephone_number": "857-308-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LINCOLN AVE",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028613546",
            "telephone_number": "857-308-9491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED CARE HAVEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "IZEKOR",
        "authorized_official_first_name": "GLORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "857-308-9491"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Powers Family Health
• Melissa Lara Prag, PT
• Shakuntala Prasad, MD
• Johnna A Pratt, LICSW
• Margaret Spinney Pratt, MSC. CCC-A
• Rovena Prekulaj, MSPT
• Glenn Stephen Prescod, M.D.
• Primary Care Medical Associates, Inc
• Prime Care LLC
• Erica Renee Prino

• Home Health Agency in Pawtucket, RI
• Providers in Pawtucket, RI by specialty
• Home Health Agency in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.