PRECIOUS ONES PERSONAL CARE HOME INC. NPI 1285945469

NPI Information

NPI: 1285945469
Provider Name: PRECIOUS ONES PERSONAL CARE HOME INC.
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
20944 US HWY 84 EAST
PRECIOUS ONES PERSONAL CARE HOME INC.
BOSTON, GA
ZIP 31626
Phone: (229) 498-5425
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PRECIOUS ONES PERSONAL CARE HOME INC. is a residential treatment facility, intellectual and/or developmental disabilities in Boston, GA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. PRECIOUS ONES PERSONAL CARE HOME INC. NPI is 1285945469. The provider is registered as an organization entity type.

The provider's business location address is:

20944 US HWY 84 EAST
PRECIOUS ONES PERSONAL CARE HOME INC.
BOSTON, GA
ZIP 31626
Phone: (229) 498-5425
Fax: (229) 263-9820

The provider's authorized official is Bobbie Jean Richardson .
The authorized official title is Owner-director and has the following contact phone number (229) 498-5425.

The enumeration date for this NPI number is 6/23/2010 and was last updated on 10/25/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies	136-01-097-1	GEORGIA	No
2	343900000X	Non-emergency Medical Transport (VAN)	136-01-097-1	GEORGIA	No
3	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities	136-01-097-1	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	084790774A	MEDICAID	GEORGIA
2	084790774B	MEDICAID	GEORGIA
3	084790774C	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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