Active NPI
Precious Medical Health Ser LLC
- In Home Supportive Care Agency
- Euclid, OH
National Provider Identifier
1639596869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- PRECIOUS MEDICAL HEALTH SER LLC
- Practice address
- 25000 Euclid Ave #408
Euclid, OH 44117 - Phone
- (216) 289-7647
- Fax
- (877) 262-2161
- NPI assigned
- Mar 26, 2014
- Last updated
- Mar 26, 2014
- Organization subpart
- Yes
- Parent organization
- PRECIOUS MEDICAL HEALTH SERVICES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Yolonda P Hendking
- Title
- C.E.O President
- Phone
- (216) 289-7647
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | NU | ||
| Private Vehicle | 347C00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
25000 Euclid Ave #408
Euclid, OH 44117
Mailing address
25000 Euclid Ave #408
Euclid, OH 44117
Phone (216) 289-7647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0066765 | Medicaid | OH |
National Provider Directory
National Provider Directory- Part of
- Precious Medical Health Ser LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395792000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395792000000",
"number": "1639596869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25000 EUCLID AVE #408",
"city": "EUCLID",
"state": "OH",
"postal_code": "44117",
"telephone_number": "216-289-7647",
"fax_number": "877-262-2161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25000 EUCLID AVE #408",
"city": "EUCLID",
"state": "OH",
"postal_code": "44117",
"telephone_number": "216-289-7647",
"fax_number": "877-262-2161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRECIOUS MEDICAL HEALTH SER LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PRECIOUS MEDICAL HEALTH SERVICES LLC",
"enumeration_date": "2014-03-26",
"last_updated": "2014-03-26",
"status": "A",
"authorized_official_last_name": "HENDKING",
"authorized_official_first_name": "YOLONDA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "C.E.O PRESIDENT",
"authorized_official_telephone_number": "216-289-7647",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0066765",
"state": "OH"
}
],
"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 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.