PASSPORT HEALTH OHIO LLC (NPI# 1396175287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396175287 |
| Entity Type | Organization |
| Organization Name | PASSPORT HEALTH OHIO LLC |
| Other Organization Name | PASSPORT HEALTH |
| Practice Address |
38 Boland Ct Greenville SC 29615 |
| Mailing Address |
6710 E Camelback Rd Scottsdale AZ 85251 |
| Practice Telephone | 8889096551 |
| Practice Fax Number | 4803836567 |
| Mailing Telephone | 8889096551 |
| Mailing Fax Number | 4803836567 |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |
| Authorized Official Name | VICKI SOWARDS (CLINICAL RN SUPERVIS) |
| Authorized Official Telephone | 8889096551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | SC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Passport Health | Doing Business As Name - Organization |
| Street Address |
38 BOLAND CT |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760555346 | Lawler and Associates, LLC | Clinic/Center | 38 Boland Ct, Greenville, SC 29615-5707 | 2006-11-15 |
| 1184037434 | Community Health and Immunization Services | Community Health Worker | 38 Boland Ct, Suite B, Greenville, SC 29615-5707 | 2014-06-04 |
| 1891950259 | Lawler and Associates, LLC | Clinic/Center | 38 Boland Ct, Suite 106, Greenville, SC 29615-5707 | 2008-07-25 |
| 1467670745 | Dorothy Jean Lanier | Registered Nurse | 38 Boland Ct, Greenville, SC 29615-5707 | 2007-04-23 |
| 1356565345 | Kimberly K Evans | Registered Nurse | 38 Boland Ct, Greenville, SC 29615-5707 | 2007-04-12 |
| 1639392947 | Janice Lee Murphy | Registered Nurse | 38 Boland Ct, Greenville, SC 29615-5707 | 2007-04-11 |
| 1477672152 | Marylynn H Lawler | Registered Nurse | 38 Boland Ct, Greenville, SC 29615-5707 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194358051 | Adenike Orogade | Behavior Technician | 17 Caldedon Ct, Suite B, Greenville, SC 29615 | 2020-02-19 |
| 1629608369 | Jennifer Jacobsen | Behavior Technician | 17 Caldedon Court, Suite B, Greenville, SC 29615 | 2020-01-22 |
| 1932668217 | Carolina Orthopaedic and Neurosurgical Associates | Orthopaedic Surgery | Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 | 2019-03-18 |
| 1255816070 | Trevis L Cureton | Pharmacist | 2401 East North St, Greenville, SC 29615 | 2018-09-27 |
| 1497232565 | Jacob J Fountain | Nurse Practitioner | 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 | 2018-07-23 |
| 1346726924 | St. Francis Physician Services, Inc | Internal Medicine | 5 Hoke Smith Blvd, Greenville, SC 29615 | 2018-07-17 |
| 1558853101 | Alexandra Michelle Taylor | Audiologist | 200 Patewood Dr Ste 400, Greenville, SC 29615 | 2018-05-30 |
| 1316466543 | Mariah Hope Mosher | Behavioral Analyst | 7 Mckenna Commons Court, Greenvilee, SC 29615 | 2017-09-19 |
| 1326400896 | Karen L Heaps | Counselor | 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 | 2016-03-24 |
| 1134589013 | Sharon Erk | Technician, Other | 2950 E.norths St, Greenville, OH 29615 | 2016-03-04 |
| Find all providers in zip 29615 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649802497 | Regenerative Health 360 LLC | Clinic/Center | 429 Roper Mountain Rd Ste 150, Greenville, SC 29615-4265 | 2020-02-10 |
| 1134688989 | Jean Barker Md Inc | Clinic/Center | 1659 E Union St, Greenville, MS 38703-3267 | 2019-03-19 |
| 1063909539 | Np Healthcare Clinic | Clinic/Center | 559a Highway 1 N, Greenville, MS 38701-3136 | 2018-04-19 |
| 1033638531 | Healthworks Med Group of South Carolina P C | Clinic/Center | 244 Terminal Rd Bldg 1045, Greenville, SC 29605-5508 | 2017-09-15 |
| 1659816932 | Proactive Md Sc,p.a. | Clinic/Center | 223 Adley Way, Greenville, SC 29607-6511 | 2016-12-22 |
| 1619336344 | John R Rowell Md21640 | Clinic/Center | 309 Belmont Ave, Greenville, SC 29601-4303 | 2016-02-23 |
| 1194192468 | Hammond Assessment Services, P.a. | Clinic/Center | 355 Woodruff Rd Ste 101, Greenville, SC 29607-3419 | 2015-08-21 |
| 1619394335 | Passport Health Holdings, LLC | Clinic/Center | 37 Villa Rd Ste 301, Greenville, SC 29615-3038 | 2014-03-19 |
| 1295157139 | Healthworks Med Group of South Carolina P C | Clinic/Center | 300 Garlington Rd, Greenville, SC 29615-4614 | 2014-01-13 |
| 1265779649 | Kristy D. Fox | Clinic/Center | 824 Mercer Rd, Greenville, PA 16125-8416 | 2013-01-06 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29615 |
Please comment or provide details below to improve the information on PASSPORT HEALTH OHIO LLC.
| 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.