Organization Active NPI

Preferred Choice Home Care, LLC

  • Home Health Agency
  • Apple Valley, MN
National Provider Identifier
1932434776
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
346000 Issued in MN
Legal business name
PREFERRED CHOICE HOME CARE, LLC
Practice address
15341 Flower Way
Apple Valley, MN 55124-3133
Phone
(612) 598-9491
Fax
(612) 746-5221
NPI assigned
Oct 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Mr. Ahmed Abdirahman Muhumud
Title
Manager
Phone
(612) 598-9491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 346000 MN Primary

Addresses

Primary practice location

15341 Flower Way
Apple Valley, MN 55124-3133

Mailing address

15341 Flower Way
Apple Valley, MN 55124-3133
Phone (612) 598-9491

Other identifiers 2

IdentifierTypeStateIssuer
M722947100MedicaidMN
346000OtherMNCLASS A PROFESSIONAL HOME CARE AGENCY

National Provider Directory

National Provider Directory
Tax ID family
Preferred Choice Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1932434776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15341 FLOWER WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551243133",
            "telephone_number": "612-598-9491",
            "fax_number": "612-746-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15341 FLOWER WAY",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551243133",
            "telephone_number": "612-598-9491",
            "fax_number": "612-746-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED CHOICE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "MUHUMUD",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "ABDIRAHMAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-598-9491",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "346000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M722947100",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLASS A PROFESSIONAL HOME CARE AGENCY",
            "identifier": "346000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.