Provider Demographics
NPI:1285263582
Name:PRECISE HOME CARE SERVICE LLC
Entity type:Organization
Organization Name:PRECISE HOME CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:BELL
Authorized Official - Last Name:OWENS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA11
Authorized Official - Phone:704-804-3942
Mailing Address - Street 1:1935 BAXTER STREET
Mailing Address - Street 2:UNIT 101
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204
Mailing Address - Country:US
Mailing Address - Phone:704-804-3942
Mailing Address - Fax:980-474-1920
Practice Address - Street 1:1935 BAXTER STREET
Practice Address - Street 2:UNIT 101
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28204
Practice Address - Country:US
Practice Address - Phone:704-804-3942
Practice Address - Fax:980-474-1920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care