Provider Demographics
NPI:1396069803
Name:PASSIONATE LIVING INC
Entity type:Organization
Organization Name:PASSIONATE LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:STELLA
Authorized Official - Middle Name:IHUOMA
Authorized Official - Last Name:OMENIHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-886-0094
Mailing Address - Street 1:489 KENYA ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-9096
Mailing Address - Country:US
Mailing Address - Phone:214-886-0094
Mailing Address - Fax:972-230-1975
Practice Address - Street 1:489 KENYA ST
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-9096
Practice Address - Country:US
Practice Address - Phone:214-886-0094
Practice Address - Fax:972-230-1975
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility