MEDICARE: PRECIOUS PROMISE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1073469045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECIOUS PROMISE LLC

Provider Business Mailing Address
First Line	:	21101 MILAN DR
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44119-1862
Country	:	US
Telephone Number	:	440-339-2729
Fax Number	:

Provider Business Practice Location Address
First Line	:	21101 MILAN DR
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44119-1862
Country	:	US
Telephone Number	:	440-339-2729
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PRECIOUS WESLEY
Credential	:
Telephone Number	:	440-339-2729

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “PRECIOUS PROMISE LLC ” Practice Location

Language	Start Address	Practice Location

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