Provider Demographics
NPI:1962097303
Name:PRECIOUS HOME HEALTH CARE SERVICES LLC.
Entity type:Organization
Organization Name:PRECIOUS HOME HEALTH CARE SERVICES LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JUMOKE
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:ONITIJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-836-5232
Mailing Address - Street 1:7 CARTWRIGHT CT
Mailing Address - Street 2:
Mailing Address - City:ROSEDALE
Mailing Address - State:MD
Mailing Address - Zip Code:21237-3932
Mailing Address - Country:US
Mailing Address - Phone:443-836-5232
Mailing Address - Fax:443-836-5232
Practice Address - Street 1:7 CARTWRIGHT CT
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:MD
Practice Address - Zip Code:21237-3932
Practice Address - Country:US
Practice Address - Phone:443-836-5232
Practice Address - Fax:443-836-5232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty