Provider Demographics
NPI:1437156478
Name:PRECISION HOME HEALTH CARE
Entity Type:Organization
Organization Name:PRECISION HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FREITAG
Authorized Official - Suffix:
Authorized Official - Credentials:RN, CLNC
Authorized Official - Phone:352-787-4119
Mailing Address - Street 1:26540 ACE AVE
Mailing Address - Street 2:SUITE 101 - J
Mailing Address - City:LEESBURG
Mailing Address - State:FL
Mailing Address - Zip Code:34748-8279
Mailing Address - Country:US
Mailing Address - Phone:352-787-4119
Mailing Address - Fax:352-787-1197
Practice Address - Street 1:26540 ACE AVE
Practice Address - Street 2:SUITE 101 - J
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-8279
Practice Address - Country:US
Practice Address - Phone:352-787-4119
Practice Address - Fax:352-787-1197
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-06
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299992070251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL10-8141Medicare ID - Type UnspecifiedPROVIDER NUMBER