Provider Demographics
NPI:1356130694
Name:PRECIOUSONE AT HOME SENIOR CARE
Entity type:Organization
Organization Name:PRECIOUSONE AT HOME SENIOR CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PEACE
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-812-8873
Mailing Address - Street 1:7431 N 140TH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68142-2168
Mailing Address - Country:US
Mailing Address - Phone:402-812-8873
Mailing Address - Fax:
Practice Address - Street 1:7431 N 140TH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68142-2168
Practice Address - Country:US
Practice Address - Phone:402-812-8873
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-03
Last Update Date:2025-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health