# PREFERRED HOME HEALTH PROVIDER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992924096
- **Authorized official:** MS. CARIE LIMOS DUPRE (ADMINISTRATOR)
- **Authorized official phone:** (909) 980-9518

## Contact information

- **Practice address:** 8560 VINEYARD AVE, RANCHO CUCAMONGA, CA 91730-4349
- **Practice address phone:** (909) 980-9518
- **Practice address fax:** (909) 980-9521
- **Mailing address:** 8560 VINEYARD AVE, SUITE 505, RANCHO CUCAMONGA, CA 91730-4349
- **Mailing address phone:** (909) 980-9518
- **Mailing address fax:** (909) 980-9521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 550000194 | CA | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 06/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 550000194 | DHS LICENSE NUMBER | CA |