Healthcare Provider Details
I. General information
NPI: 1952670622
Provider Name (Legal Business Name): PRECIOUS HANDS HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/23/2011
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
423 E TOWN ST SUITE214
COLUMBUS OH
43215-4748
US
IV. Provider business mailing address
1575 BRIARWOOD AVE
COLUMBUS OH
43211-1501
US
V. Phone/Fax
- Phone: 614-554-2837
- Fax:
- Phone: 614-554-2837
- Fax: 614-228-5889
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251G00000X |
| Taxonomy | Community Based Hospice Care Agency |
| License Number | |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251J00000X |
| Taxonomy | Nursing Care Agency |
| License Number | |
| License Number State | OH |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | OH |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | OH |
VIII. Authorized Official
Name: MISS
CAROLYN
LYNN
BURTON
Title or Position: CEO
Credential:
Phone: 614-554-2837