Provider Demographics
NPI:1841740479
Name:PRAD HEALTH ENTERPRISES LLC
Entity Type:Organization
Organization Name:PRAD HEALTH ENTERPRISES LLC
Other - Org Name:ASSISTING HANDS OF MONMOUTH COUNTY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:TRACIE
Authorized Official - Middle Name:E
Authorized Official - Last Name:AHERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-272-0222
Mailing Address - Street 1:106 APPLE ST
Mailing Address - Street 2:SUITE 113
Mailing Address - City:TINTON FALLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07724-2669
Mailing Address - Country:US
Mailing Address - Phone:732-272-0222
Mailing Address - Fax:
Practice Address - Street 1:106 APPLE ST
Practice Address - Street 2:SUITE 113
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07724-2669
Practice Address - Country:US
Practice Address - Phone:732-272-0222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-06
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0237900251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health