Provider Demographics
NPI:1992525661
Name:PRECIOUS ONE HOME HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:PRECIOUS ONE HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:D'JANAE
Authorized Official - Middle Name:
Authorized Official - Last Name:JULES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-395-1859
Mailing Address - Street 1:1475 MOUNT HOLLY RD APT O4
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08010-2232
Mailing Address - Country:US
Mailing Address - Phone:732-395-1859
Mailing Address - Fax:
Practice Address - Street 1:1475 MOUNT HOLLY RD
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:NJ
Practice Address - Zip Code:08010-2235
Practice Address - Country:US
Practice Address - Phone:732-395-1859
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health