Healthcare Provider Details

I. General information

NPI: 1295490134
Provider Name (Legal Business Name): PASSIONATE PEOPLE HOME CARE LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2021
Last Update Date: 11/08/2021
Certification Date: 11/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2522 RIDGE RD
DUSON LA
70529-3925
US

IV. Provider business mailing address

2522 RIDGE RD
DUSON LA
70529-3925
US

V. Phone/Fax

Practice location:
  • Phone: 337-280-5428
  • Fax:
Mailing address:
  • Phone: 337-280-5428
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MELANIE SINGLETON
Title or Position: OWNER
Credential: MA
Phone: 337-280-5428