Healthcare Provider Details
I. General information
NPI: 1518619048
Provider Name (Legal Business Name): PASSIONATE HEALTHCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/26/2022
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7321 ATOLL AVE # 104
NORTH HOLLYWOOD CA
91605-4107
US
IV. Provider business mailing address
7321 ATOLL AVE # 104
NORTH HOLLYWOOD CA
91605-4107
US
V. Phone/Fax
- Phone: 747-336-4418
- Fax:
- Phone: 747-336-4418
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANNA
MELKONIAN
Title or Position: CEO
Credential:
Phone: 747-336-4418