Organization Active NPI

Passionate Way Homecare LLC

  • Homemaker
  • Lakeland, FL
National Provider Identifier
1972181931
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
HomemakerTaxonomy code 376J00000X
Legal business name
PASSIONATE WAY HOMECARE LLC
Practice address
1647 Seneca Ave
Lakeland, FL 33801-6674
Phone
(863) 844-2742
NPI assigned
Mar 31, 2021
Last updated
Mar 31, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Devetrius Gerard
Title
Owner
Phone
(863) 844-2742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X Primary

Addresses

Primary practice location

1647 Seneca Ave
Lakeland, FL 33801-6674

Mailing address

1647 Seneca Ave
Lakeland, FL 33801-6674
Phone (863) 844-2742

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1972181931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 SENECA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016674",
            "telephone_number": "863-844-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 SENECA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338016674",
            "telephone_number": "863-844-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSIONATE WAY HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "GERARD",
        "authorized_official_first_name": "DEVETRIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-844-2742"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.