MEDICARE: PRECIOUS HOME HEALTH SERVICES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency		CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215936166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECIOUS HOME HEALTH SERVICES, INC

Provider Business Mailing Address
First Line	:	18856 AMAR RD
Second Line	:	STE #7
City	:	WALNUT
State	:	CA
Zip	:	91789-7103
Country	:	US
Telephone Number	:	626-581-4174
Fax Number	:	626-581-4074

Provider Business Practice Location Address
First Line	:	18856 AMAR RD
Second Line	:	STE #7
City	:	WALNUT
State	:	CA
Zip	:	91789-7103
Country	:	US
Telephone Number	:	626-581-4174
Fax Number	:	626-581-4074

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. MARILOU C TANI
Credential	:
Telephone Number	:	626-581-4174

Provider Enumeration Date	:	07/21/2005
Last Update Date	:	07/21/2022

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