Provider Demographics
NPI:1710127667
Name:PASSION CARE HOME HEALTH AGENCY INC. DBA
Entity Type:Organization
Organization Name:PASSION CARE HOME HEALTH AGENCY INC. DBA
Other - Org Name:REGION HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAYPU
Authorized Official - Middle Name:
Authorized Official - Last Name:MORELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-953-8921
Mailing Address - Street 1:5201 BLUE LAGOON DR STE 800
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-7050
Mailing Address - Country:US
Mailing Address - Phone:786-953-8921
Mailing Address - Fax:305-728-2684
Practice Address - Street 1:5201 BLUE LAGOON DR STE 800
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-7050
Practice Address - Country:US
Practice Address - Phone:786-953-8921
Practice Address - Fax:305-728-2684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-04
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
FL299993473251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health