Provider Demographics
NPI:1992687313
Name:PRECIOUS PERSONAL CARE ASSISTANT LLC
Entity type:Organization
Organization Name:PRECIOUS PERSONAL CARE ASSISTANT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EDMUND
Authorized Official - Middle Name:
Authorized Official - Last Name:AGYEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-213-8512
Mailing Address - Street 1:820 OLD SETTLERS TRL APT 6
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343-8044
Mailing Address - Country:US
Mailing Address - Phone:612-213-8512
Mailing Address - Fax:
Practice Address - Street 1:820 OLD SETTLERS TRL APT 6
Practice Address - Street 2:
Practice Address - City:HOPKINS
Practice Address - State:MN
Practice Address - Zip Code:55343-8044
Practice Address - Country:US
Practice Address - Phone:612-213-8512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care