MEDICARE: PASSIONATE CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	376J00000X	Homemaker

General Provider Information

NPI Number	:	1073727988
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PASSIONATE CARE SERVICES

Provider Business Mailing Address
First Line	:	727 HONEYSPOT RD
Second Line	:	SUITE 200
City	:	STRATFORD
State	:	CT
Zip	:	06615-7172
Country	:	US
Telephone Number	:	203-378-0433
Fax Number	:	203-378-1106

Provider Business Practice Location Address
First Line	:	727 HONEYSPOT RD
Second Line	:	SUITE 200
City	:	STRATFORD
State	:	CT
Zip	:	06615-7172
Country	:	US
Telephone Number	:	203-378-0433
Fax Number	:	203-378-1106

Authorized Official
Title or Position	:	CFO DIRECTOR OF OPERATIONS
Name	:	MS. CHANTAE ALTMAN
Credential	:
Telephone Number	:	203-378-0433

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	06/20/2013

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Directions to “PASSIONATE CARE SERVICES ” Practice Location

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