Provider Demographics
NPI:1881216562
Name:PASSION FOR CAREING INC
Entity Type:Organization
Organization Name:PASSION FOR CAREING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACENA
Authorized Official - Middle Name:
Authorized Official - Last Name:STUDMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-682-6819
Mailing Address - Street 1:1123 AVENUE J
Mailing Address - Street 2:
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844-2941
Mailing Address - Country:US
Mailing Address - Phone:321-682-6819
Mailing Address - Fax:
Practice Address - Street 1:1123 AVENUE J
Practice Address - Street 2:
Practice Address - City:HAINES CITY
Practice Address - State:FL
Practice Address - Zip Code:33844-2941
Practice Address - Country:US
Practice Address - Phone:321-682-6819
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL009298700Medicaid
FLNAOtherNA
NAOtherNA
FLNAMedicaid