Provider Demographics
NPI:1972317584
Name:PRIORITY HEALTH HOME CARE AGENCY, LLC
Entity type:Organization
Organization Name:PRIORITY HEALTH HOME CARE AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:J
Authorized Official - Last Name:VALDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:862-262-3770
Mailing Address - Street 1:5-11 SADDLE RIVER RD STE 5
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-5636
Mailing Address - Country:US
Mailing Address - Phone:201-604-8170
Mailing Address - Fax:201-604-0066
Practice Address - Street 1:5-11 SADDLE RIVER RD STE 5
Practice Address - Street 2:
Practice Address - City:FAIR LAWN
Practice Address - State:NJ
Practice Address - Zip Code:07410-5636
Practice Address - Country:US
Practice Address - Phone:201-604-8170
Practice Address - Fax:201-604-0066
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-04
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health