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Contact Information

PASSIONATE PRIVATE DUTY, LLC
2401 W US HIGHWAY 20
PINGREE GROVE, IL60140-8818
 Phone: 847-975-3950
 Fax: 847-792-0600
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nursing Care

251J00000X
Indicates primary specialty

NPI Profile & details for PASSIONATE PRIVATE DUTY, LLC

NPI # 1619480191
LBN Legal business name PASSIONATE PRIVATE DUTY, LLC
Authorized official CAROLE JENSEN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2017
Last updated 11/07/2017 - About 9 years ago
Identifiers
IL License # 4000558
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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