Healthcare Provider Details

I. General information

NPI: 1235641580
Provider Name (Legal Business Name): PRECIOUS SIMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2017
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date: 05/31/2023
Reactivation Date: 10/27/2023

III. Provider practice location address

2455 OGDEN AVE
AKRON OH
44312-2470
US

IV. Provider business mailing address

2455 OGDEN AVE
AKRON OH
44312-2470
US

V. Phone/Fax

Practice location:
  • Phone: 330-612-8650
  • Fax:
Mailing address:
  • Phone: 330-612-8650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License NumberFPS.000258
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: