Organization Active NPI

Passion Driven LLC

  • Child Mental Illness Respite Care
  • Fort Wayne, IN
National Provider Identifier
1457063950
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Mental Illness Respite CareTaxonomy code 385HR2055X
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

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Shaquana CauseyNPI 1982231791
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)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.