Provider Demographics
NPI:1265848386
Name:PRECIOUS CARE AND HOME COMPANION SERVICE, INC
Entity Type:Organization
Organization Name:PRECIOUS CARE AND HOME COMPANION SERVICE, INC
Other - Org Name:PRECIOUS CARE AND HOME CARE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:V. PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWIN
Authorized Official - Middle Name:CARL
Authorized Official - Last Name:OSTRAND
Authorized Official - Suffix:JR
Authorized Official - Credentials:MBA
Authorized Official - Phone:727-359-0360
Mailing Address - Street 1:5623 U.S. HWY. 19
Mailing Address - Street 2:SUITE 315
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-3744
Mailing Address - Country:US
Mailing Address - Phone:727-359-0360
Mailing Address - Fax:727-359-0357
Practice Address - Street 1:5623 US HIGHWAY 19 STE 315
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-3744
Practice Address - Country:US
Practice Address - Phone:727-359-0360
Practice Address - Fax:727-359-0357
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-09
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 251F00000X, 251J00000X, 385H00000X
FL234762253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care