MEDICARE: PREFERRED HOME HEALTH CARE & NURSING SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	251E00000X	Home Health Agency	HP0243102	NJ

General Provider Information

NPI Number	:	1043279011
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREFERRED HOME HEALTH CARE & NURSING SERVICES, INC.

Provider Business Mailing Address
First Line	:	250 CENTURY PKWY STE 325
Second Line	:
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-1121
Country	:	US
Telephone Number	:	732-314-5617
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 CENTURY PKWY STE 325
Second Line	:
City	:	MOUNT LAUREL
State	:	NJ
Zip	:	08054-1121
Country	:	US
Telephone Number	:	732-443-8100
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	MR. TODD THIEDE
Credential	:
Telephone Number	:	732-443-8100

Provider Enumeration Date	:	03/20/2006
Last Update Date	:	11/03/2025

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