Provider Demographics
NPI:1407145824
Name:PRECISE HOMECARE SOLUTIONS, LLC
Entity Type:Organization
Organization Name:PRECISE HOMECARE SOLUTIONS, LLC
Other - Org Name:ABONDANT COMFORT HOMECARE AGENCY, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:864-214-3075
Mailing Address - Street 1:3104 GRANDVIEW DR
Mailing Address - Street 2:STE C
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29680-2821
Mailing Address - Country:US
Mailing Address - Phone:864-214-3075
Mailing Address - Fax:864-214-3074
Practice Address - Street 1:3104 GRANDVIEW DR
Practice Address - Street 2:STE C
Practice Address - City:SIMPSONVILLE
Practice Address - State:SC
Practice Address - Zip Code:29680-2821
Practice Address - Country:US
Practice Address - Phone:864-214-3075
Practice Address - Fax:864-214-3074
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCEX0961Medicaid