PASSPORT HEALTH HOLDINGS, LLC


Address: 901 E Saint Louis Street, Suite 107, Springfield, MO 65806-2574
Phone: 8773588648

PASSPORT HEALTH HOLDINGS, LLC (NPI# 1093369597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093369597
Entity Type Organization
Organization Name PASSPORT HEALTH HOLDINGS, LLC
Practice Address 901 E Saint Louis Street
Suite 107
Springfield
MO 65806-2574
Mailing Address 8324 E Hartford Dr.
Suite 200
Scottsdale
AZ 85255-7801
Practice Telephone 8773588648
Practice Fax Number 8778776875
Mailing Telephone 8773588648
Mailing Fax Number 8778776875
Enumeration Date 2019-08-01
Last Update Date 2019-08-01
Authorized Official Name MR. DOUG SHACKELL (DIRECTOR OF FINANCE)
Authorized Official Telephone 4806469024
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 172V00000X Community Health Worker Other Service Providers

Other Provider/Organization Names

Other Name Type Code
Passport Health Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1659912533 Passport Health Holdings, LLC Preventive Medicine 111 Williard Street, Suite Gc, Quincy, MA 02169-1200 2019-10-02
1336793843 Passport Health Holdings, LLC Community Health Worker 545 Mainstream Drvie, Suite 401, Nashville, TN 37228-1231 2019-08-01
1801440318 Passport Health Holdings, LLC Community Health Worker 5330 North Oak Trafficway, Suite 105, Kansas City, MO 64118-4600 2019-08-01
1902450406 Passport Health Holdings, LLC Community Health Worker 345 Boylston Street Floor 2, Suite 202, Newton, MA 02459-2863 2019-08-01
1346701075 Passport Health Holdings, LLC Preventive Medicine 563 W 500 South, Suite 215, Bountiful, UT 84010-8172 2019-03-26
1972085587 Passport Health Holdings, LLC Clinic/Center 3375 E. Capital Circle Ne Bldg E, Suite 3, Tallahassee, FL 32308-3778 2018-08-30
1619488103 Passport Health Holdings, LLC Community Health Worker 14985 W Bell Rd Bldg 12-a, Surprise, AZ 85374-3231 2017-10-24
1528593761 Passport Health Holdings, LLC Preventive Medicine 18 Tremont Street, Suite 404, Boston, MA 02108-2304 2017-04-25
1578004008 Passport Health Holdings, LLC Preventive Medicine 1116 E Route 66, Flagstaff, AZ 86001-4706 2017-03-16
1558802082 Passport Health Holdings, LLC Preventive Medicine 2601 N. 3rd Street, Ste 102, Phoenix, AZ 85004-1145 2017-03-16

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations PASSPORT HEALTH HOLDINGS, LLC 8324 E. Hartford Dr. Ste. 200, Scottsdale, AZ 85255

Office Location

Street Address 901 E SAINT LOUIS STREET
SUITE 107
City SPRINGFIELD
State MO
Zip Code 65806-2574

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710523295 Community Health and Immunization Services, LLC Community Health Worker 901 E Saint Louis Street, Suite 107, Springfield, MO 65806-2574 2019-11-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1437614625 Jaleesa Warnay Westmoreland-ginger Specialist/Technologist 609 East Cherry Street, Sports Medicine and Athletic Training Suite 600, Springfield, MO 65806 2019-02-01
1609359116 Stacy Johnson Social Worker 134 West Park Central Sq, Springfield, MO 65806 2018-09-11
1801312871 Scott Lewis Stegeman Specialist/Technologist 609 E Cherry St, Springfield, MO 65806 2017-08-21
1154787638 Alicia R. Thomas Nurse Practitioner 618 N. Benton, Springfield, MO 65806 2016-01-13
1972938231 Karah Nicole Domenico Dietitian, Registered 205 Park Central East Ste. 217, Springfield, MO 65806 2013-09-05
1386766921 Mary Ann Wood Smith Counselor 305 East Walnut, Suite 103, Springfield, MO 65806 2007-04-04
1811023161 Yvonda Schwartz Counselor 1212 W Lombard, Great Circle, Springfield, MO 65806 2007-02-23
1861579880 Richard Chalon Aiken Psychiatry & Neurology 440 S Market Street, Springfield, MO 65806 2006-11-01
1093806671 Clint A Strong Family Medicine 440 E. Tampa St, Springfield, MO 65806 2006-09-27
1609835164 Ray E. Burmood Social Worker 614 South Street, Springfield, MO 65806 2006-03-22
Find all providers in zip 65806

Taxonomy Information

Taxonomy Code 172V00000X
Grouping Other Service Providers
Classification Community Health Worker

Taxonomy Definition

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service.
Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447743091 Regan Elise Moriarty Community Health Worker 61 Trinity Ter, Springfield, MA 01108-2844 2018-06-08
1649715772 Latricia Elliott Community Health Worker 37 E Madison Ave, Apt. A, Springfield, OH 45504-2254 2016-12-28
1952857955 Dakota Gelsheimer Community Health Worker 3332 S Roanoke Ave, Springfield, MO 65807-5032 2016-08-30
1396191250 Tina Ziff Community Health Worker 107 Broadview Rd, Springfield, PA 19064-1423 2016-05-10
1093189953 Henry Krahn Community Health Worker 741 S Mumford Cir, Springfield, MO 65809-1516 2015-11-16
1467844639 Cassandra Noel Beuerlein Community Health Worker 3447 W Farm Road 168, Springfield, MO 65807-8246 2015-02-25
1689071870 Tanvi Nayampally Community Health Worker 175 Newbrook Ln, Springfield, NJ 07081-3022 2014-12-03
1750719217 Wendy Thompson Community Health Worker 2939 Mechanicsburg Rd, Springfield, OH 45503-1822 2013-10-21
1952748345 Hannah Keppers Community Health Worker 1965 Inland Way, Springfield, OR 97477-5394 2013-05-27
1588933741 Lorna Laferriere Community Health Worker 116 Wachusett St, Springfield, MA 01118-2543 2011-12-17
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 65806

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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