Provider Demographics
NPI:1235833088
Name:PERKINS PREFERRED CARE LLC
Entity Type:Organization
Organization Name:PERKINS PREFERRED CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IRVING
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:JR
Authorized Official - Credentials:LPN
Authorized Official - Phone:209-542-0464
Mailing Address - Street 1:214 MORELAND AVE
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-2812
Mailing Address - Country:US
Mailing Address - Phone:209-542-0464
Mailing Address - Fax:
Practice Address - Street 1:214 MORELAND AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08618-2812
Practice Address - Country:US
Practice Address - Phone:209-542-0464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-27
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health