Provider Demographics
NPI:1982871158
Name:PREFERRED HOME HEALTH CARE AND NURSING SERVICES INC
Entity Type:Organization
Organization Name:PREFERRED HOME HEALTH CARE AND NURSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
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 1:111 S ORANGE AVE
Practice Address - Street 2:THIRD FLOOR
Practice Address - City:SOUTH ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07079-1936
Practice Address - Country:US
Practice Address - Phone:732-443-8100
Practice Address - Fax:732-443-8101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0000638000OtherAMERIHEALTH
NJ2K1923OtherHEALTHNET
NJG2 305724OtherAMERIGROUP
NJ1144198OtherHORIZON NJ HEALTH
NJ2549308OtherAETNA
NJ28526OtherUNIVERSITY HEALTH PLAN
NJ1000419904OtherAMERICHOICE
NJ=========0OtherHORIZON BCBS OF NJ