PASSPORT HEALTH HOLDINGS LLC (NPI# 1871996264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871996264 |
| Entity Type | Organization |
| Organization Name | PASSPORT HEALTH HOLDINGS LLC |
| Practice Address |
8324 E Hartford Dr Suite 200 Scottsdale AZ 85255-5466 |
| Practice Telephone | 8773588648 |
| Practice Fax Number | 8778776875 |
| Mailing Telephone | 8773588648 |
| Mailing Fax Number | 8778776875 |
| Enumeration Date | 2014-09-30 |
| Last Update Date | 2016-04-20 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376033233 | Passport Health Holdings LLC | Preventive Medicine | 4647 N 32nd Street, Suite 115 1st Floor, Phoenix, AZ 85018-3346 | 2018-05-16 |
| 1275988891 | Passport Health Holdings LLC | Preventive Medicine | 315 W Ponce De Leon Ave Ste 585, Decatur, GA 30030-2400 | 2016-05-02 |
| 1336579226 | Passport Health Holdings LLC | Clinic/Center | 1402 Shepard Dr, Ste 101, Sterling, VA 20164-4425 | 2013-11-14 |
| 1598195489 | Passport Health Holdings LLC | Clinic/Center | 5890 Sawmill Rd, Suite 100, Dublin, OH 43017-1591 | 2013-11-14 |
| 1669802559 | Passport Health Holdings LLC | Preventive Medicine | 260 W Coleman Blvd, Ste B, Mt Pleasant, SC 29464-3666 | 2013-11-14 |
| 1518397405 | Passport Health Holdings LLC | Preventive Medicine | 400 N Center Drive, Suite 108, Norfolk, VA 23502-0002 | 2013-11-14 |
| 1245660133 | Passport Health Holdings LLC | Clinic/Center | 512 Westwood Office Park, Fredricksburg, VA 22401-5112 | 2013-11-14 |
| 1609206564 | Passport Health Holdings LLC | Preventive Medicine | 2318-b Sunset Blvd, West Columbia, SC 29169-4716 | 2013-11-13 |
| 1043640048 | Passport Health Holdings LLC | Preventive Medicine | 3691 Palmetto Point Blvd, Ste 301, Myrtle Beach, SC 29588-1202 | 2013-11-13 |
| 1003245291 | Passport Health Holdings LLC | Preventive Medicine | 6355 Nw 36th St Ste 600, Virginia Gardens, FL 33166-7027 | 2013-11-07 |
| Street Address |
8324 E HARTFORD DR SUITE 200 |
| City | SCOTTSDALE |
| State | AZ |
| Zip Code | 85255-5466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831501980 | Community Health and Immunization Services, LLC | Community Health Worker | 8324 E Hartford Dr, Ste 200, Scottsdale, AZ 85255-5466 | 2014-05-23 |
| 1326579194 | Community Heath and Immunization Services, LLC | Prevention Professional | 8324 E Hartford Dr, Scottsdale, AZ 85255-5466 | 2017-03-23 |
| 1326579376 | Passport Health Holdings, LLC | Preventive Medicine | 8324 E Hartford Dr, Ste 103, Scottsdale, AZ 85255-7801 | 2017-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417427865 | Inpatient Health LLC | Internal Medicine | 17470 Pacesetter Way, Scottsdale, AZ 85255 | 2018-11-28 |
| 1003391764 | Daniel Andrew Wool | Family Medicine | 20801 N Scottsdale Rd Suite 205, Scottsdale, AZ 85255 | 2018-09-28 |
| 1225533953 | Nona Lynel Dasenbrock | Dietitian, Registered | 10912 E Butherus Dr, Scottsdale, AZ 85255 | 2018-03-26 |
| 1376044248 | Brandon A Hunter | Physician Assistant | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2018-02-26 |
| 1235644048 | Harmony Dental Partners, LLC | Dentist | 21809 N. Scottsdale Rd., Suite C105, Scottsdale, AZ 85255 | 2017-12-04 |
| 1093226698 | Brenda Renee Junior | Family Medicine | 7920 E Thompson Peak Pkwy Ste 100, Scottsdale, AZ 85255 | 2017-10-23 |
| 1740790393 | Sanus Dme LLC | Durable Medical Equipment & Medical Supplies | 17300 N Perimeter Dr, Ste 150, Scottsdale, AZ 85255 | 2017-10-10 |
| 1235651894 | Jill Walker | Physical Therapist | 7900 E. Princess, Apt. 1063, Scottsdale, AZ 85255 | 2017-07-14 |
| 1780123000 | Mcdowell Smile Life Dentistry LLC | Dentist | 10401 E. Mcdowell Mountain Ranch Rd Ste 130, Scottsdale, AZ 85255 | 2017-02-20 |
| 1942691779 | Gregory Edin | Dentist | 11550 E Paradise Lane, Scottsdale, AZ 85255 | 2015-02-16 |
| Find all providers in zip 85255 | ||||
| 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 |
|---|---|---|---|---|
| 1124485545 | Kevin Kadel | Community Health Worker | 15255 N Frank Lloyd Wright Blvd Apt 2123, Scottsdale, AZ 85260-2811 | 2016-01-16 |
| 1831501980 | Community Health and Immunization Services, LLC | Community Health Worker | 8324 E Hartford Dr, Ste 200, Scottsdale, AZ 85255-5466 | 2014-05-23 |
| 1689939225 | Bryon Timer | Community Health Worker | 7579 E. Main Street, Suite 200, Scottsdale, AZ 85215-4562 | 2012-07-10 |
| 1497154090 | Community Health and Immunization Services, LLC | Community Health Worker | 8324 E Hartford Dr Ste 200, Scottsdale, AZ 85255-7801 | 2014-08-19 |
| 1861731176 | John David Neel | Community Health Worker | 9332 N 95th Way, Suite 104, Scottsdale, AZ 85258-5536 | 2013-02-06 |
| 1154586873 | Tracey L Repp | Community Health Worker | 8115 E Indian Bend Rd, Ste 123, Scottsdale, AZ 85250-4819 | 2008-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881249084 | Natasha Renee Bitsui | Community Health Worker | Navajo Rte 7 and 102-1, C012-118, Chinle, AZ 86503 | 2019-08-05 |
| 1578117610 | Anitra Stansil | Community Health Worker | 5318 W Meadowbrook Ave, Phoenix, AZ 85031-1150 | 2019-07-26 |
| 1992286751 | Daniel W Welch | Community Health Worker | 1335 S Pacific Ave Ste 209, Yuma, AZ 85365-1735 | 2018-08-28 |
| 1417446162 | Gayle Louise Schnell | Community Health Worker | 2176 Barranca Dr, Lake Havasu City, AZ 86403-3109 | 2018-05-08 |
| 1619488103 | Passport Health Holdings, LLC | Community Health Worker | 14985 W Bell Rd Bldg 12-a, Surprise, AZ 85374-3231 | 2017-10-24 |
| 1891220455 | Jennifer Gaucin | Community Health Worker | 7012 W Almeria Rd, Phoenix, AZ 85035-4619 | 2017-04-20 |
| 1467991331 | Debra Ann Sniegowski | Community Health Worker | 16467 N 161st Dr, Surprise, AZ 85374-5737 | 2017-02-13 |
| 1356887137 | Surgical Assistants of Arizona | Community Health Worker | 320 Buccaneer Ln, Lake Havasu City, AZ 86406-6945 | 2017-01-17 |
| 1104360643 | Teresa Corless | Community Health Worker | 1310 S Los Altos Dr, Chandler, AZ 85286-6127 | 2016-12-16 |
| 1790143527 | Margat,llc | Community Health Worker | 3221 E Pershing Ave, Phoenix, AZ 85032-6149 | 2016-02-08 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSDALE |
| Zip Code | 85255 |
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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.