Provider Demographics
NPI:1346328796
Name:PREFERRED HEALTHMATE, INC
Entity Type:Organization
Organization Name:PREFERRED HEALTHMATE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COLLECTIONS MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:YCHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:PACIFIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-840-5566
Mailing Address - Street 1:192 JACK MARTIN BLVD
Mailing Address - Street 2:BLDG B-4
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-7728
Mailing Address - Country:US
Mailing Address - Phone:732-840-5566
Mailing Address - Fax:732-840-3805
Practice Address - Street 1:192 JACK MARTIN BLVD
Practice Address - Street 2:BLDG B-4
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-7728
Practice Address - Country:US
Practice Address - Phone:732-840-5566
Practice Address - Fax:732-840-3805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0106000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health