Provider Demographics
NPI:1073727988
Name:PASSIONATE CARE SERVICES
Entity Type:Organization
Organization Name:PASSIONATE CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:CHANTAE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-378-0433
Mailing Address - Street 1:727 HONEYSPOT RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06615-7172
Mailing Address - Country:US
Mailing Address - Phone:203-378-0433
Mailing Address - Fax:203-378-1106
Practice Address - Street 1:727 HONEYSPOT RD
Practice Address - Street 2:SUITE 200
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615-7172
Practice Address - Country:US
Practice Address - Phone:203-378-0433
Practice Address - Fax:203-378-1106
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2013-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty