Provider Demographics
NPI:1598450728
Name:PASSION HOME HEALTH CORPORATION
Entity Type:Organization
Organization Name:PASSION HOME HEALTH CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:AIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIERA
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:786-287-3451
Mailing Address - Street 1:1800 SW 27TH AVE STE 504
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33145-2400
Mailing Address - Country:US
Mailing Address - Phone:786-287-3451
Mailing Address - Fax:786-534-2917
Practice Address - Street 1:1800 SW 27TH AVE STE 504
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2400
Practice Address - Country:US
Practice Address - Phone:786-287-3451
Practice Address - Fax:786-534-2917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health