Provider Demographics
NPI:1639457401
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:CORPORATE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:T
Authorized Official - Last Name:KENDRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-603-2273
Mailing Address - Street 1:669 RIVER DR STE 130
Mailing Address - Street 2:
Mailing Address - City:ELMWOOD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07407-1361
Mailing Address - Country:US
Mailing Address - Phone:201-883-1100
Mailing Address - Fax:
Practice Address - Street 1:669 RIVER DR STE 130
Practice Address - Street 2:
Practice Address - City:ELMWOOD PARK
Practice Address - State:NJ
Practice Address - Zip Code:07407-1361
Practice Address - Country:US
Practice Address - Phone:201-883-1100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREFERRED HOME HEALTH CARE & NURSING SERVICES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-07-28
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health