1St Precious Health Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

1ST PRECIOUS HEALTH SERVICES INC.

Practice address

5928 Summerwood Dr
Grand Prairie, TX 75052-0436

Phone

(972) 269-3900

Fax

(972) 269-3901

NPI assigned

Jun 26, 2006

Last updated

Nov 30, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victorine Healthcare Tebong, SN, BSNNPI 1093344400

Title

Administrator/Director of Nursing

Phone

(972) 269-3900

Specialties & licenses 1

Addresses

Other names 1

• 1ST PRECIOUS HEALTH SERVICES INC Former legal business name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1508893835. Details of each certification follow.

• CCN 679770 Home health agency · Active · Details

Home health agency certification: CCN 679770

Legal name

1ST PRECIOUS HEALTH SERVICES INC

Doing business as

1ST PRECIOUS HOME HEALTHCARE AGENCY

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Mar 28, 2008

Last certification

Jun 14, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 13, 2006 in TX

Enrollment address

5928 Summerwood Dr.
Grand Prairie, TX 75052

Listed as

1St Precious Home Healthcare AgencyCCN 679770 · All quality measures

Ownership

Proprietary

Certified

Mar 28, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Victorine Tebong, FNP-C

  • Family Nurse Practitioner
  • Cedar Hill, TX
  • NPI 1093344400

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victorine Tebong, FNP-C

  • Family Nurse Practitioner
  • Cedar Hill, TX
  • NPI 1093344400
  NPD Authorized official

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Randibella T Achere, DNP, FNP-C

  • Family Nurse Practitioner
  • Cedar Hill, TX
  • NPI 1629402896

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1508893835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5928 SUMMERWOOD DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520436",
            "telephone_number": "972-269-3900",
            "fax_number": "972-269-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5928 SUMMERWOOD DR",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750520436",
            "telephone_number": "972-269-3900",
            "fax_number": "972-269-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST PRECIOUS HEALTH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "TEBONG",
        "authorized_official_first_name": "VICTORINE",
        "authorized_official_middle_name": "HEALTHCARE",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "972-269-3900",
        "authorized_official_credential": "SN, BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1ST PRECIOUS HEALTH SERVICES INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Home Health Agency in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.

Verify at the official NPI Registry.