Organization Active NPI

Passion Care Services II LLC

  • In Home Supportive Care Agency
  • Riverview, MI
National Provider Identifier
1235817164
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PASSION CARE SERVICES II LLC
Practice address
12621 Hale Street
Apt 124
Riverview, MI 48193
Phone
(248) 755-9138
Fax
(734) 258-8667
NPI assigned
Jul 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Joseph John Bacall
Title
Owner
Phone
(248) 755-9138

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

12621 Hale Street
Apt 124
Riverview, MI 48193

Mailing address

12621 Hale Street
Apt 124
Riverview, MI 48193
Phone (248) 755-9138

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1235817164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12621 HALE STREET",
            "address_2": "APT 124",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "48193",
            "telephone_number": "248-755-9138",
            "fax_number": "734-258-8667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12621 HALE STREET",
            "address_2": "APT 124",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "48193",
            "telephone_number": "248-755-9138",
            "fax_number": "734-258-8667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSION CARE SERVICES II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-12-06",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "BACALL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-755-9138",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.