1740171347 NPI number — PASSIONATE HOME CARE SERVICES LLC

Table of content: (NPI 1740171347)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1740171347 NPI number — PASSIONATE HOME CARE SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PASSIONATE HOME CARE SERVICES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1740171347
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/11/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3040 FOXCROFT CIR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SUMTER
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29154-6083
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-556-5410
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1205 PEACH ORCHARD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SUMTER
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29154-1356
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-294-0240
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/11/2025

Additional Information

Authorized Official

Authorized Official Last Name:
MARTIN
Authorized Official First Name:
REGINA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
803-556-5410

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com