Provider Demographics
NPI:1417834904
Name:PRECIOUS ANGELIC CARE
Entity type:Organization
Organization Name:PRECIOUS ANGELIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MUSU
Authorized Official - Middle Name:MARGARET
Authorized Official - Last Name:BAYOH
Authorized Official - Suffix:
Authorized Official - Credentials:HOME HEALTH CARE
Authorized Official - Phone:281-854-5610
Mailing Address - Street 1:6927 VENTURA DR
Mailing Address - Street 2:
Mailing Address - City:ARCOLA
Mailing Address - State:TX
Mailing Address - Zip Code:77583-4772
Mailing Address - Country:US
Mailing Address - Phone:281-854-5610
Mailing Address - Fax:
Practice Address - Street 1:6927 VENTURA DR
Practice Address - Street 2:
Practice Address - City:ARCOLA
Practice Address - State:TX
Practice Address - Zip Code:77583-4772
Practice Address - Country:US
Practice Address - Phone:281-854-5610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-18
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD215819230OtherPRIVATE PAYS, AND PRIVATE INSURANCE