Provider Demographics
NPI:1568629798
Name:PREFERRED HEALTHMATE, INC
Entity Type:Organization
Organization Name:PREFERRED HEALTHMATE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR ACCOUNTS RECEIVABLE
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 1:192 JACK MARTIN BLVD
Mailing Address - Street 2:BUILDING 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:732-840-5567
Practice Address - Street 1:192 JACK MARTIN BLVD
Practice Address - Street 2:BUILDING 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:732-840-5567
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
NJHP0106000251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health