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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172V00000X | Community Health Worker | Other Service Providers |
Other Name | Type Code |
---|---|
Passport Health | Doing Business As Name - Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | PASSPORT HEALTH HOLDINGS, LLC | 8324 E. Hartford Dr. Ste. 200, Scottsdale, AZ 85255 |
Street Address |
901 E SAINT LOUIS STREET SUITE 107 |
City | SPRINGFIELD |
State | MO |
Zip Code | 65806-2574 |
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 |
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 Code | 172V00000X |
Grouping | Other Service Providers |
Classification | Community Health Worker |
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/ |
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 |
City | SPRINGFIELD |
Zip Code | 65806 |
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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.