Active NPI
Passion Driven LLC
- Child Mental Illness Respite Care
- Fort Wayne, IN
National Provider Identifier
1457063950
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Mental Illness Respite Care
- Legal business name
- PASSION DRIVEN LLC
- Practice address
- 671 Candlelite CT
Fort Wayne, IN 46807-3603 - Phone
- (260) 602-9610
- NPI assigned
- Dec 16, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shaquana Causey
- Title
- Owner
- Phone
- (260) 602-9610
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Child Mental Illness Respite Care | 385HR2055X | Primary |
Addresses
Primary practice location
671 Candlelite CT
Fort Wayne, IN 46807-3603
Mailing address
671 Candlelite CT
Fort Wayne, IN 46807-3603
Phone (260) 602-9610
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Indianapolis, IN
- NPI 1982231791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671148800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671148800000",
"number": "1457063950",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 CANDLELITE CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468073603",
"telephone_number": "260-602-9610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "671 CANDLELITE CT",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468073603",
"telephone_number": "260-602-9610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASSION DRIVEN LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-16",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A",
"authorized_official_last_name": "CAUSEY",
"authorized_official_first_name": "SHAQUANA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "260-602-9610"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2055X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Mental Illness, Child",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.