Provider Demographics
NPI:1306380662
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:RN
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:KIDOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-832-8553
Mailing Address - Street 1:1058 ADDISON RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-1625
Mailing Address - Country:US
Mailing Address - Phone:216-832-8553
Mailing Address - Fax:
Practice Address - Street 1:669 E 200TH ST
Practice Address - Street 2:APARTMENT B
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44119-2342
Practice Address - Country:US
Practice Address - Phone:216-600-5109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-06
Last Update Date:2024-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health