MEDICARE: PRECIOUS LIFE HOME CARE LLC

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	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1912859372
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECIOUS LIFE HOME CARE LLC

Provider Business Mailing Address
First Line	:	9059 ANDROMEDA DR
Second Line	:
City	:	BURKE
State	:	VA
Zip	:	22015-3509
Country	:	US
Telephone Number	:	703-850-5025
Fax Number	:

Provider Business Practice Location Address
First Line	:	9059 ANDROMEDA DR
Second Line	:
City	:	BURKE
State	:	VA
Zip	:	22015-3509
Country	:	US
Telephone Number	:	703-850-5025
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MINHYUK CHOI
Credential	:
Telephone Number	:	703-850-5025

Provider Enumeration Date	:	02/10/2026
Last Update Date	:	02/10/2026

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Directions to “PRECIOUS LIFE HOME CARE LLC ” Practice Location

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