Healthcare Provider Details

I. General information

NPI: 1144748278
Provider Name (Legal Business Name): PRECISE HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 TILDEN AVE STE C
CHESAPEAKE VA
23320-3971
US

IV. Provider business mailing address

120 TILDEN AVE STE C
CHESAPEAKE VA
23320-3971
US

V. Phone/Fax

Practice location:
  • Phone: 757-286-9286
  • Fax:
Mailing address:
  • Phone: 757-286-9286
  • 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 Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. KRISTEN JENELLE GUESS
Title or Position: ADMINISTRATOR
Credential:
Phone: 757-286-9286