Provider Demographics
NPI:1841214277
Name:PASSION CENTRAL HOME HEALTH SERVICES INC.
Entity Type:Organization
Organization Name:PASSION CENTRAL HOME HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOY
Authorized Official - Middle Name:C
Authorized Official - Last Name:NWOKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-251-2936
Mailing Address - Street 1:18038 BARTON RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-2076
Mailing Address - Country:US
Mailing Address - Phone:832-251-2936
Mailing Address - Fax:832-251-2570
Practice Address - Street 1:18038 BARTON RIDGE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407
Practice Address - Country:US
Practice Address - Phone:832-251-2936
Practice Address - Fax:832-251-2570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009565251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677933Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER