Organization Active NPI

Passionate Group Home Services LLC

  • In Home Supportive Care Agency
  • Jacksonville, FL
National Provider Identifier
1982425864
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
PASSIONATE GROUP HOME SERVICES LLC
Practice address
6285 Cranberry LN W
Jacksonville, FL 32244-2559
Phone
(561) 685-9622
NPI assigned
Oct 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Authorized official

Name
Neemy MichelNPI 1922829860
Title
Coo
Phone
(561) 685-9622

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

6285 Cranberry LN W
Jacksonville, FL 32244-2559

Mailing address

6285 Cranberry LN W
Jacksonville, FL 32244-2559
Phone (561) 685-9622

Other names 1

  • Pasionate group home services llc Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1982425864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6285 CRANBERRY LN W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322442559",
            "telephone_number": "561-685-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 CRANBERRY LN W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322442559",
            "telephone_number": "561-685-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSIONATE GROUP HOME SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-23",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "NEEMY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-685-9622"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pasionate group home services llc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.