Provider Demographics
NPI:1952353013
Name:PRIORITY HOME CARE
Entity Type:Organization
Organization Name:PRIORITY HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:DILL
Authorized Official - Suffix:
Authorized Official - Credentials:COTA
Authorized Official - Phone:732-495-4595
Mailing Address - Street 1:84 RUTGERS WAY
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2992
Mailing Address - Country:US
Mailing Address - Phone:732-495-4595
Mailing Address - Fax:
Practice Address - Street 1:84 RUTGERS WAY
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2992
Practice Address - Country:US
Practice Address - Phone:732-495-4595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health