Organization Active NPI

Passionate Care Givers Home Care Services LLC

  • Home Health Agency
  • Lawrenceville, GA
National Provider Identifier
1467231183
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PASSIONATE CARE GIVERS HOME CARE SERVICES LLC
Doing business as
Passionate Care Givers Home Care Services LLC
Practice address
2272 Azalea Dr Ste a-2
Lawrenceville, GA 30043-2653
Phone
(678) 908-8870
NPI assigned
Sep 22, 2023
Last updated
Sep 22, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Authorized official

Name
Scholar Ibezim
Title
Don
Phone
(678) 908-8870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2272 Azalea Dr Ste a-2
Lawrenceville, GA 30043-2653

Mailing address

319 Hardin Home Way
Lawrenceville, GA 30043-6045

Other names 1

  • PASSIONATE CARE GIVERS HOME CARE SERVICES LLC Doing business as

National Provider Directory

National Provider Directory

Locations

2272 Azalea Dr
Ste A2
Lawrenceville, GA 30043
Phone (678) 908-8870

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1467231183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 HARDIN HOME WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2272 AZALEA DR STE A-2",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300432653",
            "telephone_number": "678-908-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSIONATE CARE GIVERS HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "IBEZIM",
        "authorized_official_first_name": "SCHOLAR",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "678-908-8870"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PASSIONATE CARE GIVERS HOME CARE SERVICES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.