Provider Demographics
NPI:1215936166
Name:PRECIOUS HOME HEALTH SERVICES, INC
Entity type:Organization
Organization Name:PRECIOUS HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILOU
Authorized Official - Middle Name:C
Authorized Official - Last Name:TANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-581-4174
Mailing Address - Street 1:18856 AMAR RD
Mailing Address - Street 2:STE #7
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-7103
Mailing Address - Country:US
Mailing Address - Phone:626-581-4174
Mailing Address - Fax:626-581-4074
Practice Address - Street 1:18856 AMAR RD
Practice Address - Street 2:STE #7
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-7103
Practice Address - Country:US
Practice Address - Phone:626-581-4174
Practice Address - Fax:626-581-4074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA08124FMedicaid
CAHHA08124FMedicaid