Provider Demographics
NPI:1942847124
Name:PRECISION HOME HEALTH, LLC
Entity Type:Organization
Organization Name:PRECISION HOME HEALTH, LLC
Other - Org Name:PRECISION HOME HEALTH, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHADRACK
Authorized Official - Middle Name:JORAM
Authorized Official - Last Name:BAMPEBUYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-763-2290
Mailing Address - Street 1:8100 THREE CHOPT RD RM 225
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23229-4800
Mailing Address - Country:US
Mailing Address - Phone:202-763-2290
Mailing Address - Fax:
Practice Address - Street 1:8100 THREE CHOPT RD RM 225
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23229-4800
Practice Address - Country:US
Practice Address - Phone:202-763-2290
Practice Address - Fax:540-566-3757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-05
Last Update Date:2022-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response AttendantGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care