MEDICARE: PASSIONATE HOME HEALTH SERVICES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	015129	TX

General Provider Information

NPI Number	:	1568724227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PASSIONATE HOME HEALTH SERVICES INC

Provider Business Mailing Address
First Line	:	9550 SKILLMAN ST
Second Line	:	STE 310
City	:	DALLAS
State	:	TX
Zip	:	75243-8261
Country	:	US
Telephone Number	:	972-222-7060
Fax Number	:	972-222-6577

Provider Business Practice Location Address
First Line	:	9550 SKILLMAN ST
Second Line	:	STE 310
City	:	DALLAS
State	:	TX
Zip	:	75243-8261
Country	:	US
Telephone Number	:	972-222-7060
Fax Number	:	972-222-6577

Authorized Official
Title or Position	:	ADMINISTRATOR/PRESIDENT
Name	:	MRS. OBY NEBE
Credential	:
Telephone Number	:	972-222-7060

Provider Enumeration Date	:	06/08/2012
Last Update Date	:	11/13/2012

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Directions to “PASSIONATE HOME HEALTH SERVICES INC ” Practice Location

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