Preferred Home Health Provider Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

550000194 Issued in CA

Legal business name

PREFERRED HOME HEALTH PROVIDER INC

Practice address

8560 Vineyard Ave
Rancho Cucamonga, CA 91730-4349

Phone

(909) 980-9518

Fax

(909) 980-9521

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Carie Limos Dupre

Title

Administrator

Phone

(909) 980-9518

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Flower Home Health Inc.

  dba Preferred Home Health Provider

  • Home Health Agency
  • Rancho Cucamonga, CA
  • NPI 1164941753

  Sold to, 2017-09-20

  CMS change of ownership

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1992924096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8560 VINEYARD AVE",
            "address_2": "SUITE 505",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304349",
            "telephone_number": "909-980-9518",
            "fax_number": "909-980-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8560 VINEYARD AVE",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304349",
            "telephone_number": "909-980-9518",
            "fax_number": "909-980-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED HOME HEALTH PROVIDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "DUPRE",
        "authorized_official_first_name": "CARIE",
        "authorized_official_middle_name": "LIMOS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-980-9518",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "550000194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DHS LICENSE NUMBER",
            "identifier": "550000194",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyssa Chanthavy Powers, RBT
• Ashley Pratt
• Liliana Preciado, CRT, RCP,
• Yareli Preciado
• Ana Karina Predieri
• Premier Wound Care Hyperbaric Center
• Prestige Medical Clinic and Urgent Care Inc
• Brenda Georgina Price
• Nicholas Price, DPT
• Samuel Price, PMHNP-BC

• Skilled Nursing Facility in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.