Provider Demographics
NPI:1972779478
Name:PASSIONATE CARE, LLC
Entity Type:Organization
Organization Name:PASSIONATE CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:PASSION
Authorized Official - Middle Name:ROCQUEL
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:NA
Authorized Official - Phone:502-533-7368
Mailing Address - Street 1:301 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSONVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47130-6352
Mailing Address - Country:US
Mailing Address - Phone:502-533-7368
Mailing Address - Fax:
Practice Address - Street 1:301 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:JEFFERSONVILLE
Practice Address - State:IN
Practice Address - Zip Code:47130-6352
Practice Address - Country:US
Practice Address - Phone:502-533-7638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PASSIONATE CARE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-05-05
Last Update Date:2008-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health