PREFERRED HOMECARE INFUSION LLC (NPI# 1629089362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629089362 |
| Entity Type | Organization |
| Organization Name | PREFERRED HOMECARE INFUSION LLC |
| Practice Address |
11703 E Sprague Ave Ste C3 Spokane Valley WA 99206 |
| Mailing Address |
Po Box 40700 Mesa AZ 85274-0700 |
| Practice Telephone | 5099216560 |
| Practice Fax Number | 5099216551 |
| Mailing Telephone | 4804469010 |
| Mailing Fax Number | 4809932033 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2018-08-06 |
| Authorized Official Name | WILLIAM KEYS (CEO) |
| Authorized Official Telephone | 4804469010 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
60202268 | WA | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
60202268 | WA | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
60202268 | WA | Suppliers |
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
1820MS | ID | Suppliers |
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
RP 001683 CS | OR | Suppliers |
| Y | 251F00000X | Home Infusion | 60202268 | WA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2086032 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
| 1013919240 | Preferred Homecare Infusion LLC | Durable Medical Equipment & Medical Supplies | 4601 E Hilton Ave, Ste 105, Phoenix, AZ 85034 | 2005-06-01 |
| Street Address |
11703 E SPRAGUE AVE STE C3 |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386160422 | Jeffry David Crouch | Pharmacist | 11703 E Sprague Ave Ste C3, Spokane Valley, WA 99206-6129 | 2017-08-21 |
| 1396906434 | Annette Pederson | Dietitian, Registered | 11703 E Sprague Ave Ste C3, Spokane Valley, WA 99206-6129 | 2008-06-20 |
| 1467613661 | Stacy Lueck | Dietitian, Registered | 11703 E Sprague Ave Ste C3, Spokane Valley, WA 99206-6129 | 2008-06-19 |
| 1164680849 | Lisa M Grentz | Dietitian, Registered | 11703 E Sprague Ave Ste C3, Attn: Vienna Stewart, Spokane Valley, WA 99206-6129 | 2008-05-29 |
| 1205093911 | Annie Frederick | Dietitian, Registered | 11703 E Sprague Ave Ste C3, Spokane Valley, WA 99206-6129 | 2008-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851913495 | Ea Healing Arts LLC | Acupuncturist | 210 N University Rd, Ste 200, Spokane Valley, WA 99206 | 2020-05-16 |
| 1922659630 | Creative Harmony Counseling LLC | Counselor | 721 N Pines Road, Spokane, WA 99206 | 2019-09-24 |
| 1477027092 | Hunter Badgley | Counselor | 721 N Pines Rd Ste 2, Spokane Valley, WA 99206 | 2019-01-16 |
| 1851880934 | Ryan Bushman | Dentist | 919 N Pines Rd, Spokane Valley, WA 99206 | 2018-05-04 |
| 1902307531 | Lois Jensen | Counselor | 3507 S. Spotted Rd., Spokane, WA 99206 | 2018-02-28 |
| 1295258804 | Melissa Ann Reamer | Speech-Language Pathologist | 2510 N. Pines Rd., Ste. 3, Spokane Valley, WA 99206 | 2017-07-25 |
| 1730619149 | Amanda Kathryn Fuchs | Counselor | 200 N Mullan Rd Ste 219, Spokane Valley, WA 99206 | 2017-06-18 |
| 1588105308 | Pine Ridge Management Wa LLC | Assisted Living Facility | 5615 West Umatilla, Spokane, WA 99206 | 2017-03-13 |
| 1427405893 | Sarah Winn | Counselor | 721 N Pines, Spokane Valley, WA 99206 | 2016-05-16 |
| 1134573199 | Elzbieta H Anderson | Acupuncturist | 210 N University Rd Ste 200, Spokane Valley, WA 99206 | 2016-04-15 |
| Find all providers in zip 99206 | ||||
| Taxonomy Code | 251F00000X |
| Grouping | Agencies |
| Classification | Home Infusion |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545403 | Option Care Enterprises, Inc. | Home Infusion | 3310 N Pines Rd, Spokane Valley, WA 99206-4612 | 2020-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457959546 | Option Care Enterprises, Inc. | Home Infusion | 728 134th St Sw Ste 128, Everett, WA 98204-5322 | 2020-10-12 |
| 1568028207 | Above Home Health LLC | Home Infusion | 2962 Limited Ln Nw Ste A, Olympia, WA 98502-4550 | 2019-05-17 |
| 1417949892 | Good Samaritan Hospital | Home Infusion | 1317 E Main, Puyallup, WA 98372-3136 | 2005-08-22 |
| 1659979730 | Option Care Enterprises, Inc. | Home Infusion | 13035 Gateway Dr S Ste 131, Tukwila, WA 98168-3395 | 2020-10-12 |
| 1043865983 | Vibrant Healthcare Staffing & Homecare | Home Infusion | 5401 S Tacoma Way, Tacoma, WA 98409-4312 | 2019-08-07 |
| 1568897437 | Central Washington Health Services Association | Home Infusion | 1201 S Miller St, Wenatchee, WA 98801-3201 | 2013-09-10 |
| 1295965903 | Crossroads Healthcare Inc | Home Infusion | 1111 Main St, Suite 555, Vancouver, WA 98660-2990 | 2009-07-16 |
| 1902949837 | Vna Home Health Care Services | Home Infusion | 3901 E Main Ave, Spokane, WA 99202-4736 | 2007-02-14 |
| 1972600401 | Swedish Health Services | Home Infusion | 5701 6th Ave S, Suite 404, Seattle, WA 98108-2568 | 2006-09-19 |
| City | SPOKANE VALLEY |
| Zip Code | 99206 |
Please comment or provide details below to improve the information on PREFERRED HOMECARE INFUSION LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.