MEDICARE: PASSIONATE ABOUT YOU PRIVATE HOMECARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251E00000X	Home Health Agency
2	251J00000X	Nursing Care Agency
3	372600000X	Adult Companion
4	385H00000X	Respite Care
5	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1528824430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PASSIONATE ABOUT YOU PRIVATE HOMECARE LLC

Provider Business Mailing Address
First Line	:	6205 ABERCORN ST STE 101
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-5540
Country	:	US
Telephone Number	:	912-323-7595
Fax Number	:	912-417-6114

Provider Business Practice Location Address
First Line	:	6205 ABERCORN ST STE 101
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31405-5540
Country	:	US
Telephone Number	:	912-323-7595
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DOROTHY A LEE
Credential	:
Telephone Number	:	912-323-7595

Provider Enumeration Date	:	02/27/2024
Last Update Date	:	07/10/2025

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