Healthcare Provider Details

I. General information

NPI: 1548676075
Provider Name (Legal Business Name): PRECIOUS PLACES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2014
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1219 N DYE RD
FLINT MI
48532-2216
US

IV. Provider business mailing address

6228 MERGER DR
HOLLAND OH
43528-9593
US

V. Phone/Fax

Practice location:
  • Phone: 810-233-6696
  • Fax: 810-233-6696
Mailing address:
  • Phone: 419-491-0970
  • Fax: 419-491-0971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: DESHRA M VINES-LEAK
Title or Position: HEALTHCARE ADMINISTRATOR
Credential:
Phone: 419-491-0970