Organization
PREFERRED HOME CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY ANN STAMATES (PRESIDENT)
(716) 433-6408
Entity
Organization
Contact information
Practice address
6116 STRAUSS RD, LOCKPORT, NY 14094-5816
(716) 433-6408
(716) 438-5122
Mailing address
6116 STRAUSS RD, LOCKPORT, NY 14094-5816
(716) 433-6408
(716) 438-5122
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011399901
UNIVERA HEALTHCARE
NY
01
—
000551257001
BLUE CROSS BLUE SHIELD
NY
05
—
01855403
—
NY
01
—
8390089
INDEPENDENT HEALTH
NY
Enumeration date
09/07/2005
Last updated
08/22/2020
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