Healthcare Provider Details

I. General information

NPI: 1952181059
Provider Name (Legal Business Name): PASSIONATE HOME HEALTHCARE AGENCY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2023
Last Update Date: 10/05/2023
Certification Date: 10/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 CHERRY ST
SHARON HILL PA
19079-1308
US

IV. Provider business mailing address

27 AUCKLAND DR
NEWARK DE
19702-4299
US

V. Phone/Fax

Practice location:
  • Phone: 610-803-5509
  • Fax:
Mailing address:
  • Phone: 610-803-5509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: AMIRAH RAHIM
Title or Position: CEO
Credential:
Phone: 610-803-5509