PASSPORT HEALTH HOLDINGS, LLC (NPI# 1902450406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902450406 |
| Entity Type | Organization |
| Organization Name | PASSPORT HEALTH HOLDINGS, LLC |
| Other Organization Name | PASSPORT HEALTH |
| Practice Address |
345 Boylston Street Floor 2 Suite 202 Newton MA 02459-2863 |
| 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 | 2019-08-02 |
| 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 |
| 1093369597 | Passport Health Holdings, LLC | Community Health Worker | 901 E Saint Louis Street, Suite 107, Springfield, MO 65806-2574 | 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 |
| 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 |
345 BOYLSTON STREET FLOOR 2 SUITE 202 |
| City | NEWTON |
| State | MA |
| Zip Code | 02459-2863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558843912 | Nancy Smith | Social Worker | 504 Ward St, Newton, MA 02459 | 2018-09-03 |
| 1730608100 | Nicole M La Camera | Counselor | 39 Chestnut Terrace, Newton, MA 02459 | 2017-09-16 |
| 1154851368 | Crmb Physician Group Pllc | Obstetrics & Gynecology | 300 Boylston, Newton Corner, MA 02459 | 2017-06-20 |
| 1497156392 | The Spiegel Center | Clinic/Center | 335 Boylston Street, Front, Newton, MA 02459 | 2014-09-10 |
| 1073944294 | Aviva Care | In Home Supportive Care | 30 Bontempo Rd, Newton, MA 02459 | 2013-12-13 |
| 1609142017 | Boston Center for Memory, Inc | Psychiatry & Neurology | 180 Wells Ave., Suite 304, Newton, MA 02459 | 2012-03-29 |
| 1053689950 | Deborah Anne Sichel | Psychiatry & Neurology | 446 Brookline Street, Newton, MA 02459 | 2011-12-06 |
| 1437433216 | Micah Walsh Adams | Social Worker | 32 Union St. Suite 3, Newton, MA 02459 | 2011-09-28 |
| 1245532746 | Rochelle Eve Goldin | Occupational Therapist | 333 Nahanton Street, Newton, MA 02459 | 2010-12-03 |
| 1609177302 | Ellen Gail Forst | Speech-Language Pathologist | 333 Nahunton Street, Newton, MA 02459 | 2010-11-11 |
| Find all providers in zip 02459 | ||||
| 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 |
|---|---|---|---|---|
| 1538719109 | Aloha M Wilkins | Community Health Worker | 52 Hillside Ter, Newton, NJ 07860-1118 | 2019-09-16 |
| 1497994867 | Tammy Sue Brewer | Community Health Worker | 1108 Saint Charles Ct, Newton, NC 28658-3800 | 2009-02-09 |
| 1093074544 | Lauren Kutz | Community Health Worker | 64 Eldredge St, Newton, MA 02458-2017 | 2012-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154929263 | Taylor Marston | Community Health Worker | 56 Cherry St # 3, Brockton, MA 02301-2608 | 2020-10-12 |
| 1538775309 | Edward Earl Anderson Jr. | Community Health Worker | 64 Poydras St, Hyde Park, MA 02136-6419 | 2020-09-17 |
| 1861008682 | Kathryn Mary Carbone | Community Health Worker | 131 Norfolk St, Quincy, MA 02170-1227 | 2020-09-17 |
| 1801428305 | Alison Tully | Community Health Worker | 81 Morton St Apt 3, Fall River, MA 02720-2891 | 2020-02-12 |
| 1225678444 | Katelin Riley | Community Health Worker | 79 Taunton St, Bellingham, MA 02019-1470 | 2020-01-15 |
| 1528619392 | Felecia Marie Burns-yanis | Community Health Worker | 4 Church St Apt 5, Oxford, MA 01540-1956 | 2019-09-24 |
| 1417514142 | Colleen Ann Burke | Community Health Worker | 26 Ellsworth St, Athol, MA 01331-2013 | 2019-05-29 |
| 1104384569 | Erica Jean Last | Community Health Worker | 35 Congress Street, Building 2, Suite 150c, Salem, MA 01970 | 2019-03-05 |
| 1477025088 | Teresa M Valerio | Community Health Worker | East Cambridge Health Center, 163 Gore St, Cambridge, MA 02141 | 2018-12-20 |
| 1407323629 | Stephen Aaron James | Community Health Worker | 29 Laurel St Apt 9, Worcester, MA 01608-1033 | 2018-10-25 |
| Find all providers with the same taxonomy | ||||
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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.