Provider Demographics
NPI:1225656960
Name:PASSION OF PEDIATRICS NURSING AND SENIOR SERVICES, LLC
Entity Type:Organization
Organization Name:PASSION OF PEDIATRICS NURSING AND SENIOR SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RHONDALYN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-566-9610
Mailing Address - Street 1:17505 OAKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HAZEL CREST
Mailing Address - State:IL
Mailing Address - Zip Code:60429-2147
Mailing Address - Country:US
Mailing Address - Phone:708-566-9610
Mailing Address - Fax:
Practice Address - Street 1:17505 OAKWOOD DR
Practice Address - Street 2:
Practice Address - City:HAZEL CREST
Practice Address - State:IL
Practice Address - Zip Code:60429-2147
Practice Address - Country:US
Practice Address - Phone:708-566-9610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care