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NPI 1942122189

NPI 1942122189 : PASSIONATECARE CAREGIVER SERVICE : SLIDELL, LA

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General NPI Number Information
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    NPI Number           |    1942122189
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    Entity Type          |    Organization 
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    Legal Business Name  |    PASSIONATECARE CAREGIVER SERVICE 
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Dates
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    Enumeration Date     |    07/29/2026
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    Last Update Date     |    07/29/2026
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Provider Practice Location Address
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    Address Line         |    5424 IRIS HOLLOW RD 
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    City                 |    SLIDELL
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    State                |    LA
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    Zip                  |    70461-1223
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    Country              |    US
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    Telephone            |    985-201-7547
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 302 
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    City                 |    SLIDELL
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    State                |    LA
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    Zip                  |    70459-0302
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    Country              |    US
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    Telephone            |    985-201-7547
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MARY  MASON 
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    Credential           |    
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    Telephone            |    504-628-8869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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