Provider Demographics
NPI:1760755722
Name:LIFEPASSION HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:LIFEPASSION HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:UZODIMMA
Authorized Official - Last Name:AJUZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-806-7317
Mailing Address - Street 1:22404 WOODLAND LN
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-8899
Mailing Address - Country:US
Mailing Address - Phone:815-806-7317
Mailing Address - Fax:
Practice Address - Street 1:22404 WOODLAND LN
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:IL
Practice Address - Zip Code:60423-8899
Practice Address - Country:US
Practice Address - Phone:815-806-7317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL132933828977031939251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health