Healthcare Provider Details

I. General information

NPI: 1013171123
Provider Name (Legal Business Name): PREFERRED HOME HEALTH CARE & NURSING SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2008
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 PRESIDENTIAL BLVD SUITE 200
BALA CYNWYD PA
19004-1110
US

IV. Provider business mailing address

130 PRESIDENTIAL BLVD STE 200
BALA CYNWYD PA
19004-1110
US

V. Phone/Fax

Practice location:
  • Phone: 732-840-5566
  • Fax: 732-840-3805
Mailing address:
  • Phone: 610-667-0600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
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