Passion Wellcare, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PASSION WELLCARE, LLC

Practice address

313 Trindale Rd Ste 101
Archdale, NC 27263-3800

Phone

(336) 491-6896

NPI assigned

Dec 15, 2020

Last updated

Dec 15, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Delvonche Womack

Title

Ceo

Phone

(336) 491-6896

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1245826049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 TRINDALE RD STE 101",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272633800",
            "telephone_number": "336-491-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 TRINDALE RD STE 101",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272633800",
            "telephone_number": "336-491-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSION WELLCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "DELVONCHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-491-6896"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.