Healthcare Provider Details

I. General information

NPI: 1275482499
Provider Name (Legal Business Name): PRAISE YAH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 01/29/2026
Certification Date: 01/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1099 WHITE HORSE RD 2ND FLOOR SUITE 223
VOORHEES NJ
08043-4405
US

IV. Provider business mailing address

1099 WHITE HORSE RD 2ND FLOOR SUITE 223
VOORHEES NJ
08043-4405
US

V. Phone/Fax

Practice location:
  • Phone: 630-805-0366
  • Fax: 630-805-0366
Mailing address:
  • Phone: 630-805-0366
  • Fax: 630-805-0366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: JEREMY R ZWIERZYNSKI
Title or Position: OWNER
Credential:
Phone: 630-805-0366