Active NPI
Precious Home Health Care Inc
- Home Health Agency
- Euclid, OH
National Provider Identifier
1306380662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PRECIOUS HOME HEALTH CARE INC
- Practice address
- 669 E 200TH St
Apartment B
Euclid, OH 44119-2342 - Phone
- (216) 600-5109
- NPI assigned
- Dec 6, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Paul Kidola
- Title
- RN
- Phone
- (216) 832-8553
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
669 E 200TH St
Apartment B
Euclid, OH 44119-2342
Mailing address
1058 Addison Rd
Cleveland, OH 44103-1625
Phone (216) 832-8553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170628003170 | OH | Part A Provider - Home Health Agency | 6103195557 | Practice locations: Euclid, OH |
Home health agency certification: CCN 369187
- Legal name
- PRECIOUS HOME HEALTH CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 26, 2018
- Last certification
- Jan 26, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Jun 25, 2014 in OH
- Enrollment address
- 669 E 200TH St
Apt B
Euclid, OH 44119-2342
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Precious Home Health Care Inc
- Ownership
- Proprietary
- Certified
- Jan 26, 2018
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Precious Home Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Cleveland, OH
- NPI 1659771590
Locations
669 E 200th St
Apt B
Euclid, OH 44119
Phone (216) 544-9596
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Liberator Kidol | 5% Or Greater Direct Ownership Interest | Jun 25, 2014 | |
| General Partnership Interest | Jun 25, 2014 | ||
| Operational/Managerial Control | Jun 25, 2014 | ||
| Roselea Kidol | 5% Or Greater Direct Ownership Interest | Jun 25, 2014 | |
| General Partnership Interest | Jun 25, 2014 | ||
| Corporate Director | Jun 25, 2014 | ||
| Operational/Managerial Control | Jun 25, 2014 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rehabilitation Counselor
- Columbus, OH
- NPI 1659505808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711238400000",
"number": "1306380662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1058 ADDISON RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441031625",
"telephone_number": "216-832-8553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "669 E 200TH ST",
"address_2": "APARTMENT B",
"city": "EUCLID",
"state": "OH",
"postal_code": "441192342",
"telephone_number": "216-600-5109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECIOUS HOME HEALTH CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-12-06",
"last_updated": "2024-03-24",
"certification_date": "2024-03-24",
"status": "A",
"authorized_official_last_name": "KIDOLA",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "RN",
"authorized_official_telephone_number": "216-832-8553",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.