Provider Demographics
NPI:1003240482
Name:PASSIONATE IN-HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:PASSIONATE IN-HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MRINALINI
Authorized Official - Middle Name:V
Authorized Official - Last Name:REDDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-212-5134
Mailing Address - Street 1:350 N COURT ST
Mailing Address - Street 2:SUITE: 203
Mailing Address - City:LAPEER
Mailing Address - State:MI
Mailing Address - Zip Code:48446-2206
Mailing Address - Country:US
Mailing Address - Phone:248-212-5134
Mailing Address - Fax:
Practice Address - Street 1:350 N COURT ST
Practice Address - Street 2:SUITE: 203
Practice Address - City:LAPEER
Practice Address - State:MI
Practice Address - Zip Code:48446-2206
Practice Address - Country:US
Practice Address - Phone:248-212-5134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-21
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI05254QOtherSTATE