Provider Demographics
NPI:1669066957
Name:PASSIONATE HANDS HOME CARE LLC
Entity type:Organization
Organization Name:PASSIONATE HANDS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KHALILAH
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-751-5693
Mailing Address - Street 1:3618 ASHLEY PHOSPHATE RD STE 11
Mailing Address - Street 2:
Mailing Address - City:N CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29418-8586
Mailing Address - Country:US
Mailing Address - Phone:843-751-5693
Mailing Address - Fax:
Practice Address - Street 1:3618 ASHLEY PHOSPHATE RD STE 11
Practice Address - Street 2:
Practice Address - City:N CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29418-8586
Practice Address - Country:US
Practice Address - Phone:843-751-5693
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-26
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health