Healthcare Provider Details
I. General information
NPI: 1265848386
Provider Name (Legal Business Name): PRECIOUS CARE AND HOME COMPANION SERVICE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/09/2014
Last Update Date: 05/04/2020
Certification Date: 05/04/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5623 US HIGHWAY 19 STE 315
NEW PORT RICHEY FL
34652-3744
US
IV. Provider business mailing address
5623 U.S. HWY. 19 SUITE 315
NEW PORT RICHEY FL
34652-3744
US
V. Phone/Fax
- Phone: 727-359-0360
- Fax: 727-359-0357
- Phone: 727-359-0360
- Fax: 727-359-0357
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251F00000X |
| Taxonomy | Home Infusion Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | 234762 |
| License Number State | FL |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
EDWIN
CARL
OSTRAND
JR.
Title or Position: V. PRESIDENT
Credential: MBA
Phone: 727-359-0360