Passionate Private Duty, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

4000558 Issued in IL

Legal business name

PASSIONATE PRIVATE DUTY, LLC

Practice address

2401 W US Highway 20
Pingree Grove, IL 60140-8818

Phone

(847) 975-3950

Fax

(847) 792-0600

NPI assigned

Nov 7, 2017

Last updated

Nov 7, 2017By 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

Ms. Carole A Jensen

Title

Executive Director

Phone

(847) 975-3950

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1619480191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W US HIGHWAY 20 STE 202",
            "city": "PINGREE GROVE",
            "state": "IL",
            "postal_code": "601408819",
            "telephone_number": "847-975-3950",
            "fax_number": "847-972-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W US HIGHWAY 20",
            "city": "PINGREE GROVE",
            "state": "IL",
            "postal_code": "601408818",
            "telephone_number": "847-975-3950",
            "fax_number": "847-792-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSIONATE PRIVATE DUTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-975-3950",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IL",
            "license": "4000558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianne Joy Mindac, BEHAVIOR TECHNICIAN
• Northwest Dentiq Center P.C. (Pingree Smile Center)
• Nursetalk Mental Wellness LLC
• Kelly E O'Keefe, LCSW
• Kenneth A Orchard, M.D.
• Jignesh Patel, DDS
• Brittany Peterman
• PF Development 5, LLC (CenterWell Home Health II)
• Emily Kate Rossman, ATC
• Madeline Saffle

• Nursing Care Agency in Pingree Grove, IL
• Providers in Pingree Grove, IL by specialty
• Nursing Care Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; 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.