- Enrollment id
- O20070511000502
- Enrollment state
- TX
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1568724227
- Multiple npi flag
- N
- Ccn
- 747253
- Associate id
- 6406953207
- Organization name
- PASSIONATE HOME HEALTH SERVICES INC
- Incorporation date
- 2010-12-15
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 9550 SKILLMAN ST
- Address line 2
- STE 310
- City
- DALLAS
- State
- TX
- Zip code
- 752438221