Healthcare Provider Details

I. General information

NPI: 1932848884
Provider Name (Legal Business Name): PRECIOUS ONES HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 05/31/2022
Certification Date: 05/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3-2-3 ESTATE GRUNWALD
ST. JOHN VI
00830
US

IV. Provider business mailing address

PO BOX 1757
ST JOHN VI
00831-1757
US

V. Phone/Fax

Practice location:
  • Phone: 340-514-9482
  • Fax:
Mailing address:
  • Phone: 340-514-9482
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. JERMAINE LORRAINE DORE
Title or Position: OWNER
Credential:
Phone: 340-514-9482