Healthcare Provider Details

I. General information

NPI: 1457124877
Provider Name (Legal Business Name): PASSION CAREGIVING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2023
Last Update Date: 11/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4740 N. BERNARD ST APT. 2
CHICAGO IL
60625
US

IV. Provider business mailing address

4740 N. BERNARD ST APT. 2
CHICAGO IL
60625
US

V. Phone/Fax

Practice location:
  • Phone: 773-999-6184
  • Fax: 773-654-3660
Mailing address:
  • Phone: 773-999-6184
  • Fax: 773-654-3660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State

VIII. Authorized Official

Name: MS. VIRGINIA PARROCHA ORIBELLO
Title or Position: AGENCY MANAGER
Credential:
Phone: 773-999-6184