Passion Undone, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

PASSION UNDONE, LLC

Practice address

125 Remount Rd Ste C-1749
Charlotte, NC 28203-6458

Phone

(704) 326-2075

NPI assigned

Jan 23, 2023

Organization subpart

No

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

Authorized official

Name

Deherda Rochelle Brown

Title

Organizer/ Member

Phone

(803) 464-4606

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674604800000",
    "number": "1851006944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 REMOUNT RD STE C-1749",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036458",
            "telephone_number": "704-326-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 REMOUNT RD STE C-1749",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282036458",
            "telephone_number": "704-326-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSION UNDONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DEHERDA",
        "authorized_official_middle_name": "ROCHELLE",
        "authorized_official_title_or_position": "ORGANIZER/ MEMBER",
        "authorized_official_telephone_number": "803-464-4606"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "9803648008",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "125 Remount Rd Ste C-1749",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282036458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Prosthetic/Orthotic Supplier in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.