Healthcare Provider Details

I. General information

NPI: 1770040883
Provider Name (Legal Business Name): PRECIOUS GROUP HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/25/2019
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 S BAGDAD RD
LEANDER TX
78641-2818
US

IV. Provider business mailing address

2200 S BAGDAD RD
LEANDER TX
78641-2818
US

V. Phone/Fax

Practice location:
  • Phone: 512-541-1606
  • Fax: 512-221-2927
Mailing address:
  • Phone: 512-541-1606
  • Fax: 512-221-2927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MRS. RITA UZOMBA
Title or Position: ADMINISTRATOR
Credential: MSA
Phone: 512-541-1606