Provider Demographics
NPI:1235701137
Name:PRECISION HOME CARE LLC
Entity Type:Organization
Organization Name:PRECISION HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHADRACK
Authorized Official - Middle Name:JORAM
Authorized Official - Last Name:BAMPEBUYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-763-2290
Mailing Address - Street 1:12352 ROSE HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46235-6058
Mailing Address - Country:US
Mailing Address - Phone:202-763-2290
Mailing Address - Fax:240-542-4047
Practice Address - Street 1:5722 LITTLE SPRING WAY
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21704-6704
Practice Address - Country:US
Practice Address - Phone:202-763-2290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251G00000XAgenciesHospice Care, Community Based
No253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, ChildGroup - Single Specialty