Provider Demographics
NPI:1629647862
Name:PASSIONATE CARE HOME HEALTH, LLC
Entity Type:Organization
Organization Name:PASSIONATE CARE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LATISHA
Authorized Official - Middle Name:LOVE
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA, RMA
Authorized Official - Phone:859-982-1231
Mailing Address - Street 1:239 SHORT MAY ST
Mailing Address - Street 2:
Mailing Address - City:ELSMERE
Mailing Address - State:KY
Mailing Address - Zip Code:41018-2166
Mailing Address - Country:US
Mailing Address - Phone:859-982-1231
Mailing Address - Fax:
Practice Address - Street 1:239 SHORT MAY ST
Practice Address - Street 2:
Practice Address - City:ELSMERE
Practice Address - State:KY
Practice Address - Zip Code:41018-2166
Practice Address - Country:US
Practice Address - Phone:859-982-1231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health