PASSPORT HEALTH (NPI# 1205255247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205255247 |
| Entity Type | Organization |
| Organization Name | PASSPORT HEALTH |
| Practice Address |
2025 S Brentwood Blvd Suite 101 Saint Louis MO 63144-1833 |
| Practice Telephone | 3149978100 |
| Practice Fax Number | 3149978102 |
| Mailing Telephone | 3149978100 |
| Mailing Fax Number | 3149978102 |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-10-02 |
| Authorized Official Name | LTANYA GARRISON (PRESIDENT) |
| Authorized Official Telephone | 3149978100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376097980 | Passport Health | Public Health or Welfare | 890 Mill St Ste 301, Reno, NV 89502-1436 | 2016-08-11 |
| 1770961187 | Passport Health | Clinic/Center | 3117 Geary Blvd, San Francisco, CA 94118-3316 | 2015-05-18 |
| 1861816357 | Passport Health | Clinic/Center | 8249 W 95th St., Overland Park, KS 66212 | 2014-02-05 |
| 1942635362 | Passport Health | Clinic/Center | 6710 E Camelback Rd Ste 200, Scottsdale, AZ 85251-2031 | 2013-09-04 |
| 1578896486 | Passport Health | Clinic/Center | 2525 Camino Del Rio S Ste 325, San Diego, CA 92108-3784 | 2009-09-09 |
| 1184957235 | Passport Health | Clinic/Center | 921 E Fort Ave Ste 100, Baltimore, MD 21230-5135 | 2009-09-08 |
| 1154594067 | Passport Health | Community Health Worker | 600 W Cummings Park Ste 1300, Woburn, MA 01801-6376 | 2008-04-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PASSPORT HEALTH | 13820 Crest Hill Ln, Silver Spring, MD 20905-4470 |
| System for Award Management (SAM) Entities | PASSPORT HEALTH COLORADO | 405 Urban St Ste 320, Lakewood, CO 80228-1222 |
| Colorado Business Entities | PASSPORT HEALTH COMMUNICATIONS, INC | 720 Cool Springs Blvd #450, Franklin, TN 37067 |
| Connecticut Business Registrations | PASSPORT HEALTH COMMUNICATIONS, INC | 720 Cool Springs Blvd Ste 200, Franklin, TN 37067 |
| Indiana Business Entities | PASSPORT HEALTH COMMUNICATIONS, INC | 720 Cool Springs Blvd #450, Franklin, TN 37067 |
| Massachusetts Corporations | PASSPORT HEALTH COMMUNICATIONS, INC. | 720 Cool Springs Blvd., Suite 200, Franklin, TN 37067 |
| Massachusetts Corporations | PASSPORT HEALTH HOLDINGS, LLC | 8324 E. Hartford Dr. Ste. 200, Scottsdale, AZ 85255 |
| System for Award Management (SAM) Entities | PASSPORT HEALTH OKLAHOMA | 3330 Nw 56th St Ste 220, Oklahoma City, OK 73112-4426 |
| Street Address |
2025 S BRENTWOOD BLVD SUITE 101 |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63144-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063781631 | Richard Charles Young | Social Worker | 2025 S Brentwood Blvd, Saint Louis, MO 63144-1833 | 2011-12-27 |
| 1487949129 | Melissa Bozesky | Counselor | 2025 S Brentwood Blvd, 200, Saint Louis, MO 63144-1833 | 2011-06-10 |
| 1508984477 | Learning Consultants, Inc. | Local Education Agency (LEA) | 2025 S Brentwood Blvd, Suite 206, Saint Louis, MO 63144-1833 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730681214 | Patrick Kojima | Pharmacist | 1520 S. Brentwood Blvd, Saint Louis, MO 63144 | 2018-03-01 |
| 1104257385 | Karen Misty Thornton | Counselor | 1750 S Brentwood Blvd Ste 503, Saint Louis, MO 63144 | 2013-12-12 |
| 1386804433 | Lisa Marie Ross | Social Worker | 2025 S Brentwood, Suite 206, St Louis, MO 63144 | 2008-06-12 |
| 1568667665 | St. Joseph Institute for The Deaf | Speech-Language Pathologist | 1314 Strassner, Brentwood, MO 63144 | 2007-06-19 |
| 1720292030 | Albert A Barton | Social Worker | 2806 S Brentwood Blvdd, St Louis, MO 63144 | 2007-05-09 |
| 1083736243 | Gary Jean Jameson | Chiropractor | 2901 S Brentwood Blvd, St Louis, MO 63144 | 2007-04-06 |
| 1649340662 | Lindsay Michelle Ledbetter | Physical Therapist | 8228 Brentwood Industrial Drive, Brentwood, MO 63144 | 2006-11-08 |
| 1316041627 | Jandhyala Satya Sagar | Internal Medicine | 1400 Strassner Rd, Brentwood, MO 63144 | 2006-09-08 |
| 1396855326 | Jane E Loitman | Internal Medicine | 8044 Manchester Rd, Saint Louis, MO 63144 | 2006-08-31 |
| 1164532289 | Jayne M Scanlan | Physical Therapist | 2937 South Brentwood Blvd, Brentwood, MO 63144 | 2006-08-30 |
| Find all providers in zip 63144 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931517 | Marvin Optometry, P.C. | Clinic/Center | 1405 S Hanley Rd Ste B, Saint Louis, MO 63144-2902 | 2020-07-31 |
| 1497379358 | Innovative Occupational Therapy Solutions | Clinic/Center | 1044 Poplar Dr, Saint Louis, MO 63125-5022 | 2020-06-05 |
| 1366089443 | Gilligan Nutrition Counseling LLC | Clinic/Center | 10104 Conway Rd, Saint Louis, MO 63124-1240 | 2019-12-08 |
| 1154853828 | Gifted Touch LLC | Clinic/Center | 1736 Keelen Dr, Saint Louis, MO 63136-2441 | 2017-03-31 |
| 1043694961 | Reaching Out Home Health Care LLC | Clinic/Center | 2324 Hord Ave, Saint Louis, MO 63136-3825 | 2015-07-10 |
| 1720473762 | The Health Company, LLC | Clinic/Center | 1333 Geders Ln, Saint Louis, MO 63122-1633 | 2015-04-06 |
| 1649278896 | La Clinica- Latino Community Health Centers | Clinic/Center | 3646 Fairview Ave, Saint Louis, MO 63116-4747 | 2005-07-12 |
| 1609481696 | Medical Care LLC | Clinic/Center | 5203 Chippewa St Ste 301, Saint Louis, MO 63109-2356 | 2020-09-15 |
| 1821656208 | St. Louis County Dept of Public Health | Clinic/Center | 6121 N Hanley Rd, Saint Louis, MO 63134-2003 | 2019-05-31 |
| 1275019408 | Men's Medical Institute LLC | Clinic/Center | 1062 Old Des Peres Rd, Saint Louis, MO 63131-1865 | 2018-07-11 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63144 |
Please comment or provide details below to improve the information on PASSPORT HEALTH.
| 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.