Provider Demographics
NPI:1255529046
Name:PRECIOUS HOME HEALTH CARE INC
Entity type:Organization
Organization Name:PRECIOUS HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:UCHEBUNMA
Authorized Official - Last Name:NWEKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:972-686-4209
Mailing Address - Street 1:3435 HIGHLAND RD
Mailing Address - Street 2:STE# 200
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75228-6068
Mailing Address - Country:US
Mailing Address - Phone:972-686-4209
Mailing Address - Fax:972-686-3825
Practice Address - Street 1:3435 HIGHLAND RD
Practice Address - Street 2:STE# 200
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75228-6068
Practice Address - Country:US
Practice Address - Phone:972-686-4209
Practice Address - Fax:972-686-3825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX457969251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457969Medicare Oscar/Certification