Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 03/20/2006
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 CENTURY PKWY STE 325
MOUNT LAUREL NJ
08054-1121
US

IV. Provider business mailing address

250 CENTURY PKWY STE 325
MOUNT LAUREL NJ
08054-1121
US

V. Phone/Fax

Practice location:
  • Phone: 732-443-8100
  • Fax:
Mailing address:
  • Phone: 732-314-5617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0243102
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MR. TODD THIEDE
Title or Position: CFO
Credential:
Phone: 732-443-8100