Provider Demographics
NPI:1619716487
Name:PRECIOUS CARE HOMES LLC
Entity type:Organization
Organization Name:PRECIOUS CARE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:EMILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:OKOROMA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-875-2687
Mailing Address - Street 1:1000 NORTHBROOK DR STE 100
Mailing Address - Street 2:
Mailing Address - City:FEASTERVILLE TREVOSE
Mailing Address - State:PA
Mailing Address - Zip Code:19053-8430
Mailing Address - Country:US
Mailing Address - Phone:561-875-6875
Mailing Address - Fax:
Practice Address - Street 1:11551 237TH ST
Practice Address - Street 2:
Practice Address - City:ELMONT
Practice Address - State:NY
Practice Address - Zip Code:11003
Practice Address - Country:US
Practice Address - Phone:561-875-6875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health