Healthcare Provider Details

I. General information

NPI: 1962539726
Provider Name (Legal Business Name): PREFERRED HOME HEALTHCARE & NURSING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 08/23/2024
Certification Date: 08/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3520 HIGHWAY RT. 33
NEPTUNE NJ
07753
US

IV. Provider business mailing address

3520 HIGHWAY RT. 33
NEPTUNE NJ
07753
US

V. Phone/Fax

Practice location:
  • Phone: 732-443-8100
  • Fax: 732-443-8101
Mailing address:
  • Phone: 732-443-8100
  • Fax: 732-443-8101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0243100
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