Provider Demographics
NPI:1023298379
Name:PRECIOUS HOME SERVICE INC.
Entity type:Organization
Organization Name:PRECIOUS HOME SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:NOSA
Authorized Official - Middle Name:
Authorized Official - Last Name:OGIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-425-2830
Mailing Address - Street 1:5511 102ND AVE N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-2074
Mailing Address - Country:US
Mailing Address - Phone:763-435-2830
Mailing Address - Fax:763-425-2830
Practice Address - Street 1:5511 102ND AVE N
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55443-2074
Practice Address - Country:US
Practice Address - Phone:736-425-2830
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-04
Last Update Date:2007-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN334863251J00000X
MN334862163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No251J00000XAgenciesNursing CareGroup - Multi-Specialty