Provider Demographics
NPI:1447392279
Name:PASSION HOME HEALTHCARE
Entity Type:Organization
Organization Name:PASSION HOME HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MIA
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:LONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-253-2999
Mailing Address - Street 1:12800 SOIKA AVE
Mailing Address - Street 2:UP
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120
Mailing Address - Country:US
Mailing Address - Phone:216-253-2999
Mailing Address - Fax:
Practice Address - Street 1:12800 SOIKA AVE
Practice Address - Street 2:UP
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-3143
Practice Address - Country:US
Practice Address - Phone:216-253-2999
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health