Provider Demographics
NPI:1306003439
Name:PREFERRED HOME HEALTH CARE AND NURSING SERVICES INC
Entity Type:Organization
Organization Name:PREFERRED HOME HEALTH CARE AND NURSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:A R SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-840-5566
Mailing Address - Street 1:809 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-6695
Mailing Address - Country:US
Mailing Address - Phone:732-286-6789
Mailing Address - Fax:732-286-6775
Practice Address - Street 1:809 MAIN ST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-6695
Practice Address - Country:US
Practice Address - Phone:732-286-6789
Practice Address - Fax:732-286-6775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2008-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0243100251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0000638000OtherAMERIHEALTH
NJ2549308OtherAETNA
NJ2K1923OtherHEALTHNET
NJ1000419904OtherAMERICHOICE
NJ1144198OtherHORIZON NJ HEALTH
NJ28526OtherUNIVERSITY HEALTH PLAN
NMG2 305724OtherAMERIGROUP
NJ28526OtherUNIVERSITY HEALTH PLAN