Provider Demographics
NPI:1215286521
Name:PASSIONATE HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:PASSIONATE HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDUL-RASHEED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-667-2925
Mailing Address - Street 1:8032 SUSSEX ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48228-2247
Mailing Address - Country:US
Mailing Address - Phone:248-667-2925
Mailing Address - Fax:
Practice Address - Street 1:8032 SUSSEX ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-2247
Practice Address - Country:US
Practice Address - Phone:248-667-2925
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health