Provider Demographics
NPI:1578614087
Name:PRECAUTIONARY HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:PRECAUTIONARY HOME HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCRANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-241-1150
Mailing Address - Street 1:11011 CRENSHAW BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:INGLEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90303-6330
Mailing Address - Country:US
Mailing Address - Phone:323-241-1150
Mailing Address - Fax:323-241-1155
Practice Address - Street 1:11011 CRENSHAW BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:INGLEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90303-6330
Practice Address - Country:US
Practice Address - Phone:323-241-1150
Practice Address - Fax:323-241-1155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-13
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA57790FMedicaid
557790Medicare Oscar/Certification