Provider Demographics
NPI:1598798936
Name:PRECIOUS HEALTH CORP
Entity type:Organization
Organization Name:PRECIOUS HEALTH CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:
Authorized Official - Last Name:KORTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-386-7744
Mailing Address - Street 1:1701 N COLLINS BLVD STE 3000G
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3564
Mailing Address - Country:US
Mailing Address - Phone:214-547-7496
Mailing Address - Fax:214-547-7460
Practice Address - Street 1:1701 N COLLINS BLVD STE 3000G
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3564
Practice Address - Country:US
Practice Address - Phone:214-547-7496
Practice Address - Fax:214-547-7460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX016998251E00000X, 251E00000X
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX016998OtherTXHHSC LICENSE #
TX016998OtherTXHHSC LICENSE #
008348OtherSTATE LICENSE NO