Provider Demographics
NPI:1700498599
Name:PASSIONATE HOSPICE LLC
Entity Type:Organization
Organization Name:PASSIONATE HOSPICE LLC
Other - Org Name:DOCTOR'S CHOICE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP COMPLIANCE
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:GLOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-365-2464
Mailing Address - Street 1:13100 NORTHWEST FWY STE 400B
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77040-6310
Mailing Address - Country:US
Mailing Address - Phone:833-365-2464
Mailing Address - Fax:
Practice Address - Street 1:13100 NORTHWEST FWY STE 400B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77040-6310
Practice Address - Country:US
Practice Address - Phone:833-365-2464
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-21
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based