Provider Demographics
NPI:1720446214
Name:PRECISION HOME HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:PRECISION HOME HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:D
Authorized Official - Last Name:BUTTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-556-4286
Mailing Address - Street 1:4436 SAINT LEO LN
Mailing Address - Street 2:
Mailing Address - City:SAINT ANN
Mailing Address - State:MO
Mailing Address - Zip Code:63074-1222
Mailing Address - Country:US
Mailing Address - Phone:314-556-4286
Mailing Address - Fax:314-754-9802
Practice Address - Street 1:4436 SAINT LEO LN
Practice Address - Street 2:
Practice Address - City:SAINT ANN
Practice Address - State:MO
Practice Address - Zip Code:63074-1222
Practice Address - Country:US
Practice Address - Phone:314-556-4286
Practice Address - Fax:314-754-9802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-29
Last Update Date:2016-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service