Organization Active NPI

Precious Health Care, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1649411216
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRECIOUS HEALTH CARE, LLC
Practice address
1391 Oakland Park Avenue
Suite H
Columbus, OH 43224-3567
Phone
(614) 268-3295
Fax
(614) 268-3778
NPI assigned
Mar 11, 2009
Last updated
Apr 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Mr. Edward Frimpong Kwakye, RN
Title
Administrator
Phone
(614) 268-3295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1391 Oakland Park Avenue
Suite H
Columbus, OH 43224-3567

Mailing address

1391 Oakland Park Avenue
Suite H
Columbus, OH 43224-3567
Phone (614) 268-3295

Other identifiers 1

IdentifierTypeStateIssuer
3053921MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090731000190 OH Part A Provider - Home Health Agency 1456404961 Practice locations: Columbus, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649411216. Details of each certification follow.

Home health agency certification: CCN 368306

Legal name
PRECIOUS HEALTH CARE, LLC
Doing business as
PRECIOUS HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 19, 2010
Last certification
Apr 25, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 24, 2009 in OH
Enrollment address
1391 Oakland Park Ave
Suite H
Columbus, OH 43224-3567

Care Compare: Home health agency

Medicare Care Compare
Listed as
Precious Health Care LLCCCN 368306 · All quality measures
Ownership
Proprietary
Certified
Apr 19, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1097075Precious Health Care LLC1391 Oakland Park Ave Ste H, Columbus, OH 43224Certificate of waiverMar 17, 2027

National Provider Directory

National Provider Directory

Locations

1391 Oakland Park Ave
Ste H
Columbus, OH 43224
Phone (614) 268-3295

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.

NameRoleSinceShare
Peter Womber Individual 5% Or Greater Direct Ownership Interest Oct 14, 2013 50%
General Partnership Interest Jun 30, 2009
Corporate Director Jun 30, 2009
Operational/Managerial Control Oct 14, 2013
John Osei-Kwakye Individual 5% Or Greater Direct Ownership Interest Oct 14, 2013 50%

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1649411216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 OAKLAND PARK AVENUE",
            "address_2": "SUITE H",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432243567",
            "telephone_number": "614-268-3295",
            "fax_number": "614-268-3778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 OAKLAND PARK AVENUE",
            "address_2": "SUITE H",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432243567",
            "telephone_number": "614-268-3295",
            "fax_number": "614-268-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-11",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "KWAKYE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "FRIMPONG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "614-268-3295",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3053921",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.