Provider Demographics
NPI:1578027132
Name:PREFERRED HOME HEALTH CARE & NURSING SERVICES INC
Entity Type:Organization
Organization Name:PREFERRED HOME HEALTH CARE & NURSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
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 1:615 MAIN ST
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-7422
Practice Address - Country:US
Practice Address - Phone:732-840-5566
Practice Address - Fax:198-206-0975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-29
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health