Provider Demographics
NPI:1588180244
Name:PRECISION VENTURES, LLC
Entity Type:Organization
Organization Name:PRECISION VENTURES, LLC
Other - Org Name:GOLDEN HEART SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:STEGALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-218-1534
Mailing Address - Street 1:2413 BOSTON AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50310-6242
Mailing Address - Country:US
Mailing Address - Phone:515-218-1534
Mailing Address - Fax:515-218-1543
Practice Address - Street 1:2413 BOSTON AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50310-6242
Practice Address - Country:US
Practice Address - Phone:515-218-1534
Practice Address - Fax:515-218-1543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAX000709569Medicaid