Provider Demographics
NPI:1790120590
Name:PASSION HOMEHEALTH LLC
Entity Type:Organization
Organization Name:PASSION HOMEHEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WADMIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-408-1327
Mailing Address - Street 1:2 E 11TH ST
Mailing Address - Street 2:STE 206
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-3922
Mailing Address - Country:US
Mailing Address - Phone:405-408-1327
Mailing Address - Fax:405-471-5588
Practice Address - Street 1:2 E 11TH ST
Practice Address - Street 2:STE 206
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-3922
Practice Address - Country:US
Practice Address - Phone:405-408-1327
Practice Address - Fax:405-471-5588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-07
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health