Provider Demographics
NPI:1720694458
Name:PRECIOUS MOMENTS HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:PRECIOUS MOMENTS HOME CARE AGENCY LLC
Other - Org Name:PRECIOUS MOMENTS HOME CARE AGENCY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:V
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-587-0121
Mailing Address - Street 1:524 HEINE ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-1811
Mailing Address - Country:US
Mailing Address - Phone:484-587-0121
Mailing Address - Fax:
Practice Address - Street 1:529 READING AVE STE I3
Practice Address - Street 2:
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1073
Practice Address - Country:US
Practice Address - Phone:484-587-0121
Practice Address - Fax:484-231-3737
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-18
Last Update Date:2023-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health