Provider Demographics
NPI:1669449385
Name:PRECISE HOME HEALTH INC
Entity Type:Organization
Organization Name:PRECISE HOME HEALTH INC
Other - Org Name:PRECISE HOME HEALTH INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MAVIS
Authorized Official - Middle Name:
Authorized Official - Last Name:BREWSTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:832-471-6498
Mailing Address - Street 1:6300 RICHMOND AVE STE 103D
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-5931
Mailing Address - Country:US
Mailing Address - Phone:832-471-6498
Mailing Address - Fax:832-471-6978
Practice Address - Street 1:6300 RICHMOND AVE. SUITE 103D
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057
Practice Address - Country:US
Practice Address - Phone:832-471-6498
Practice Address - Fax:832-471-6978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-01
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008193208D00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXHH260HOtherBLUE CROSS BLUE SHIELD
TN156732301Medicaid
TX679254Medicare ID - Type Unspecified