Provider Demographics
NPI:1518639772
Name:PRECIOUS HOME INC.
Entity Type:Organization
Organization Name:PRECIOUS HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ADEPEJU
Authorized Official - Middle Name:I
Authorized Official - Last Name:ADARAMOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-659-8128
Mailing Address - Street 1:9 TIFFANY PL
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07111-1910
Mailing Address - Country:US
Mailing Address - Phone:908-659-8128
Mailing Address - Fax:
Practice Address - Street 1:9 TIFFANY PL
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-1910
Practice Address - Country:US
Practice Address - Phone:908-659-8128
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities