Provider Demographics
NPI:1043279011
Name:PREFERRED HOME HEALTH CARE & NURSING SVS., INC.
Entity Type:Organization
Organization Name:PREFERRED HOME HEALTH CARE & NURSING SVS., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:
Authorized Official - Last Name:THIEDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-443-8100
Mailing Address - Street 1:45 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EATONTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-3919
Mailing Address - Country:US
Mailing Address - Phone:732-443-8100
Mailing Address - Fax:732-443-8101
Practice Address - Street 1:45 MAIN ST
Practice Address - Street 2:
Practice Address - City:EATONTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07724-3919
Practice Address - Country:US
Practice Address - Phone:732-443-8100
Practice Address - Fax:732-443-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-20
Last Update Date:2013-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0243102251E00000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1144198Medicare UPIN
NJ2K1923Medicare UPIN
NJ2549308Medicare UPIN
NJ28526Medicare UPIN