Provider Demographics
NPI:1972367449
Name:PRECIOUS ANGELS HOME CARE LLC
Entity type:Organization
Organization Name:PRECIOUS ANGELS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PRECIOUS
Authorized Official - Middle Name:SHANEE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-820-8480
Mailing Address - Street 1:6551 MAYBURN ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48127-2264
Mailing Address - Country:US
Mailing Address - Phone:248-820-8480
Mailing Address - Fax:
Practice Address - Street 1:6551 MAYBURN ST
Practice Address - Street 2:
Practice Address - City:DEARBORN HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48127-2264
Practice Address - Country:US
Practice Address - Phone:248-820-8480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-06
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health