Provider Demographics
NPI:1134422702
Name:PRECIOUS HOME HEALTH SERVICES INC
Entity type:Organization
Organization Name:PRECIOUS HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IMRAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-737-7992
Mailing Address - Street 1:48542 VAN DYKE AVE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:SHELBY TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48317-3273
Mailing Address - Country:US
Mailing Address - Phone:586-737-7992
Mailing Address - Fax:888-709-2818
Practice Address - Street 1:48542 VAN DYKE AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:SHELBY TWP
Practice Address - State:MI
Practice Address - Zip Code:48317-3273
Practice Address - Country:US
Practice Address - Phone:586-737-7992
Practice Address - Fax:888-709-2818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI23-9238Other10/19/2012