Provider Demographics
NPI:1053293159
Name:PREFERRED HOMECARE LLC
Entity type:Organization
Organization Name:PREFERRED HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLUYEMISI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADEGBOLA-ONI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-975-8440
Mailing Address - Street 1:19126 SUMMER FARM TRL
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2022
Mailing Address - Country:US
Mailing Address - Phone:281-975-8440
Mailing Address - Fax:
Practice Address - Street 1:19126 SUMMER FARM TRL
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-2022
Practice Address - Country:US
Practice Address - Phone:281-975-8440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251E00000XAgenciesHome Health