Healthcare Provider Details

I. General information

NPI: 1023926995
Provider Name (Legal Business Name): PRECISION HOME HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5825 HAWK LN
SUFFOLK VA
23432-1444
US

IV. Provider business mailing address

440 MONTICELLO AVE STE 1802
NORFOLK VA
23510-2670
US

V. Phone/Fax

Practice location:
  • Phone: 757-394-0514
  • Fax:
Mailing address:
  • Phone: 757-394-0514
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHAWNTE' BOOKER
Title or Position: CEO/ OWNER
Credential: CBCS
Phone: 757-394-0514