MEDICARE: PASSIONATE CARE SERVICES LLC

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	261QD1600X	Developmental Disabilities Clinic/Center
2	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912425513
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PASSIONATE CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	5601 CORPORATE WAY STE 111
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2041
Country	:	US
Telephone Number	:	561-421-2494
Fax Number	:

Provider Business Practice Location Address
First Line	:	5601 CORPORATE WAY STE 111
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2041
Country	:	US
Telephone Number	:	561-421-2494
Fax Number	:	561-429-4504

Authorized Official
Title or Position	:	OWNER
Name	:	MICHELLE DANIELLE SCOTT
Credential	:
Telephone Number	:	561-421-2494

Provider Enumeration Date	:	09/02/2017
Last Update Date	:	01/19/2023

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Directions to “PASSIONATE CARE SERVICES LLC ” Practice Location

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