Provider Demographics
NPI:1295074979
Name:PRECEDENCE HOME HEALTHCARE LLC
Entity type:Organization
Organization Name:PRECEDENCE HOME HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NANA KWESI
Authorized Official - Middle Name:BOTCHWAY
Authorized Official - Last Name:BAISEL
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:614-218-7509
Mailing Address - Street 1:4663 EXECUTIVE DR STE 17
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-3627
Mailing Address - Country:US
Mailing Address - Phone:614-827-3222
Mailing Address - Fax:614-259-6048
Practice Address - Street 1:4663 EXECUTIVE DR STE 17
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-3627
Practice Address - Country:US
Practice Address - Phone:800-413-0553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-31
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child