Healthcare Provider Details
I. General information
NPI: 1891649414
Provider Name (Legal Business Name): PRECIOUS ANGELS HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/21/2026
Last Update Date: 02/21/2026
Certification Date: 02/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1011 CHERRY ST
EVANSVILLE IN
47713-1909
US
IV. Provider business mailing address
1011 CHERRY ST
EVANSVILLE IN
47713-1909
US
V. Phone/Fax
- Phone: 812-598-6073
- Fax:
- Phone: 812-598-6073
- Fax:
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 | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JASMINE
NICOLE
CAMPBELL
Title or Position: ADMINISTRATOR
Credential:
Phone: 812-598-6073