Healthcare Provider Details

I. General information

NPI: 1326353905
Provider Name (Legal Business Name): PASSION HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2010
Last Update Date: 08/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 STEPHENSON HWY 203
TROY MI
48083-1113
US

IV. Provider business mailing address

950 STEPHENSON HWY 203
TROY MI
48083-1113
US

V. Phone/Fax

Practice location:
  • Phone: 248-556-7553
  • Fax: 248-786-5330
Mailing address:
  • Phone: 248-556-7553
  • Fax: 248-786-5330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: USMAN S BUTT
Title or Position: PRESIDENT
Credential:
Phone: 248-556-7553