Healthcare Provider Details

I. General information

NPI: 1962937771
Provider Name (Legal Business Name): PRECISE HOME HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2017
Last Update Date: 03/07/2023
Certification Date: 03/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 NW SOUTH OUTER RD STE 106
BLUE SPRINGS MO
64015-3051
US

IV. Provider business mailing address

1200 NW SOUTH OUTER RD STE 106
BLUE SPRINGS MO
64015-3051
US

V. Phone/Fax

Practice location:
  • Phone: 816-295-5171
  • Fax: 816-988-7844
Mailing address:
  • Phone: 816-295-5171
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: CARLA E PERKINS
Title or Position: OWNER
Credential:
Phone: 816-868-4634