Provider Demographics
NPI:1982743027
Name:PASSIONATE HOME HEALTH CARE, INC
Entity Type:Organization
Organization Name:PASSIONATE HOME HEALTH CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT AND TREASURER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:OLU
Authorized Official - Last Name:OGUNTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-923-4134
Mailing Address - Street 1:1660 HIGHWAY 100 S
Mailing Address - Street 2:SUITE 500
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55416-1529
Mailing Address - Country:US
Mailing Address - Phone:952-697-3600
Mailing Address - Fax:952-697-3630
Practice Address - Street 1:1660 HIGHWAY 100 S
Practice Address - Street 2:SUITE 500
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55416-1529
Practice Address - Country:US
Practice Address - Phone:952-697-3600
Practice Address - Fax:952-697-3630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health