Provider Demographics
NPI:1497008619
Name:PRECIOUS P. HOME HEALTH
Entity Type:Organization
Organization Name:PRECIOUS P. HOME HEALTH
Other - Org Name:PRECIOUS P. HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PROGRAM MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EKINADOESE
Authorized Official - Middle Name:MERCY
Authorized Official - Last Name:NDUKWO
Authorized Official - Suffix:
Authorized Official - Credentials:PROGRAM MANAGER
Authorized Official - Phone:281-912-7954
Mailing Address - Street 1:7414 CANASTA LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083
Mailing Address - Country:US
Mailing Address - Phone:281-912-7954
Mailing Address - Fax:
Practice Address - Street 1:7414 CANASTA LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083
Practice Address - Country:US
Practice Address - Phone:281-912-7954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-25
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health