Provider Demographics
NPI:1619983376
Name:PRECISE HOME CARE SERVICES L.L.C.
Entity Type:Organization
Organization Name:PRECISE HOME CARE SERVICES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-864-9919
Mailing Address - Street 1:18940 SCHAEFER HWY
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235-1763
Mailing Address - Country:US
Mailing Address - Phone:313-864-9919
Mailing Address - Fax:313-864-6799
Practice Address - Street 1:18940 SCHAEFER HWY
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235-1763
Practice Address - Country:US
Practice Address - Phone:313-864-9919
Practice Address - Fax:313-864-6799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4567373Medicaid
MI4549482Medicaid
MI4549482Medicaid
MI237490Medicare UPIN