Provider Demographics
NPI:1427819929
Name:PRECIOUS SENIOR HOME CARE, LLC
Entity type:Organization
Organization Name:PRECIOUS SENIOR HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MACNESTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:EXAVERY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-615-7402
Mailing Address - Street 1:11442 STEWART LN APT B1
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-2228
Mailing Address - Country:US
Mailing Address - Phone:877-587-6979
Mailing Address - Fax:877-587-6979
Practice Address - Street 1:11442 STEWART LN APT B1
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-2228
Practice Address - Country:US
Practice Address - Phone:877-587-6979
Practice Address - Fax:877-587-6979
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-22
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health