Provider Demographics
NPI:1598295909
Name:PRECIOUS LOVING HOME CARE
Entity Type:Organization
Organization Name:PRECIOUS LOVING HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CAREGIVER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:RIVERA
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-547-6426
Mailing Address - Street 1:15244 W WATSON LN
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85379-7040
Mailing Address - Country:US
Mailing Address - Phone:623-398-6059
Mailing Address - Fax:623-398-8081
Practice Address - Street 1:15244 W WATSON LN
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85379-7040
Practice Address - Country:US
Practice Address - Phone:623-398-6059
Practice Address - Fax:623-398-8081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAL10303H310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility