Active NPI
Passion Home Care, LLC
- In Home Supportive Care Agency
- Nashville, TN
National Provider Identifier
1477096519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 1000000019142
- Legal business name
- PASSION HOME CARE, LLC
- Practice address
- 2005 Quail Ridge Dr
Nashville, TN 37207-1057 - Phone
- (615) 336-6571
- NPI assigned
- Nov 21, 2016
- 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
- Dequila Brooks
- Title
- Ceo
- Phone
- (615) 336-6571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 1000000019142 | TN | Primary |
Addresses
Primary practice location
2005 Quail Ridge Dr
Nashville, TN 37207-1057
Mailing address
PO Box 70083
Nashville, TN 37207-0083
Phone (615) 336-6571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q024838 | Medicaid | TN |
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.
-
- In Home Supportive Care Agency
- Nashville, TN
- NPI 1699139790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479686400000",
"number": "1477096519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70083",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372070083",
"telephone_number": "615-336-6571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2005 QUAIL RIDGE DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372071057",
"telephone_number": "615-336-6571"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PASSION HOME CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-21",
"last_updated": "2016-11-21",
"status": "A",
"authorized_official_last_name": "BROOKS",
"authorized_official_first_name": "DEQUILA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "615-336-6571"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "TN",
"license": "1000000019142",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q024838",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.