Healthcare Provider Details

I. General information

NPI: 1962097303
Provider Name (Legal Business Name): PRECIOUS HOME HEALTH CARE SERVICES LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2021
Last Update Date: 07/20/2021
Certification Date: 07/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 CARTWRIGHT CT
ROSEDALE MD
21237-3932
US

IV. Provider business mailing address

7 CARTWRIGHT CT
ROSEDALE MD
21237-3932
US

V. Phone/Fax

Practice location:
  • Phone: 443-836-5232
  • Fax: 443-836-5232
Mailing address:
  • Phone: 443-836-5232
  • Fax: 443-836-5232

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MRS. JUMOKE MARIA ONITIJU
Title or Position: DIRECTOR
Credential:
Phone: 443-836-5232