Provider Demographics
NPI:1174499313
Name:PASSIONATE HEALTH LLC
Entity type:Organization
Organization Name:PASSIONATE HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ALEXIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRULL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-745-6487
Mailing Address - Street 1:4829 GOODFELLOW BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63120-1535
Mailing Address - Country:US
Mailing Address - Phone:314-745-6487
Mailing Address - Fax:314-745-6487
Practice Address - Street 1:4829 GOODFELLOW BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63120-1535
Practice Address - Country:US
Practice Address - Phone:314-745-6487
Practice Address - Fax:314-745-6487
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care