PASSPORT HEALTH HOLDINGS LLC (NPI# 1407189392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407189392 |
| Entity Type | Organization |
| Organization Name | PASSPORT HEALTH HOLDINGS LLC |
| Other Organization Name | PPH GLOBAL SERVICES LLC |
| Practice Address |
8249 W 95th St Ste 105 Overland Park KS 66212-3200 |
| Mailing Address |
8324 E Hartford Dr Ste 200 Scottsdale AZ 85255-5466 |
| Practice Telephone | 8773588648 |
| Practice Fax Number | 8778776875 |
| Mailing Telephone | 8773588648 |
| Mailing Fax Number | 8778776875 |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2016-07-13 |
| 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 |
|---|---|---|---|---|---|
| N | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PPH Global Services LLC | Other Name - Individual/Organization |
| 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 |
8249 W 95TH ST STE 105 |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66212-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285045898 | Community Health and Immunization Services, LLC | Community Health Worker | 8249 W 95th St, Suite 105b, Overland Park, KS 66212-3217 | 2014-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363137 | Marva Calder | Nurse Practitioner | 7299 W 98th Terrance Bld 6, Suite 120, Overland Park, KS 66212 | 2020-10-15 |
| 1518572163 | Pathways To Empowerment | Marriage & Family Therapist | 7180 W. 107th Street, St. 21, Overland Park, KS 66212 | 2020-09-10 |
| 1689287914 | Lisa Marie Ambrosek | Behavioral Analyst | 7725 W 87th Street, Overland Park, KS 66212 | 2020-08-26 |
| 1598221061 | Ginger Marie Anderson | Massage Therapist | 9200 Glewood Street Suite 101, Overland Park, KS 66212 | 2019-02-20 |
| 1508335092 | Samantha Nicole Stevens | Behavior Technician | 7725 W. 87th Street, Overland Park, KS 66212 | 2018-11-14 |
| 1831600360 | Kristin Nichols | Occupational Therapist | 8826 Sante Fe Dr, Suite 203, Overland Park, KS 66212 | 2017-10-24 |
| 1538529003 | Cindy Sykes | Social Worker | 8402 Lowell Ave, Overland Park, KS 66212 | 2016-02-26 |
| 1265804157 | Lauren Spears | Psychologist | 10100 W 87th St Ste 306, Overland Park, KS 66212 | 2015-10-30 |
| 1699158279 | Harbor Hospice of Kansas Lp | Hospice Care, Community Based | 7223 W 95th St Ste 230, Overland Park, KS 66212 | 2015-07-01 |
| 1982000303 | Doolittle & Harrington Healthcare LLC | Clinic/Center | 10560 Barkley St Ste 340, Overland Park, KS 66212 | 2014-11-12 |
| Find all providers in zip 66212 | ||||
| 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 |
|---|---|---|---|---|
| 1730709023 | Jay Enterprise LLC | Clinic/Center | 8315 W 119th Ter, Overland Park, KS 66213-1225 | 2020-04-16 |
| 1104958537 | Blue Valley Women's Care | Clinic/Center | 9375 West 75th Street, Overland Park, KS 66204 | 2007-03-12 |
| 1154776219 | North Star Academy | Clinic/Center | 7725 W 87th St, Overland Park, KS 66212-1905 | 2016-04-26 |
| 1093172231 | Motion Chiropractic LLC | Clinic/Center | 11625 Knox St, Overland Park, KS 66210-3601 | 2016-01-19 |
| 1417373747 | Greg Scott Dc LLC | Clinic/Center | 10100 W 87th Street Parkway, Ste 320, Overland Park, KS 66212-4628 | 2014-03-11 |
| 1124372255 | Living Well Chiropractic LLC | Clinic/Center | 15445 Metcalf Ave, Overland Park, KS 66223-2801 | 2012-10-26 |
| 1730413204 | Gulledge Family Wellness, LLC | Clinic/Center | 11879 W 112th St, Suite 100, Overland Park, KS 66210-2725 | 2009-09-30 |
| 1740476860 | Jonathan Jacobs Md LLC | Clinic/Center | 12140 Nall Ave, Suite 100, Overland Park, KS 66209-2503 | 2007-09-21 |
| 1588765937 | Saint Luke's South Hospital, Inc | Clinic/Center | 12330 Metcalf Ave, Overland Park, KS 66213-1324 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491271 | Heartland Pediatric Therapy | Clinic/Center | 1677 Rainbow Rd, Lindsborg, KS 67456-5085 | 2020-09-11 |
| 1740893932 | Junction City Dialysis, LLC | Clinic/Center | 702 Caroline Ave, Junction City, KS 66441-5223 | 2020-08-26 |
| 1649833377 | Regenerative Treatment Centers | Clinic/Center | 11401 Nall Ave Ste 218, Leawood, KS 66211-1850 | 2019-04-18 |
| 1407327620 | White Cloud Health Center, LLC | Clinic/Center | 3349b Thrasher Rd, White Cloud, KS 66094-4005 | 2018-12-16 |
| 1326557158 | Lumen Care Center, LLC | Clinic/Center | 6800 Hilltop Rd Ste 101, Shawnee, KS 66226-3571 | 2017-09-25 |
| 1477070431 | Kc Wellness Center, Inc | Clinic/Center | 5417 Johnson Dr, Mission, KS 66205-2912 | 2017-08-29 |
| 1609303544 | Xenon Anesthesia of Kansas LLC | Clinic/Center | 2101 Sw 21st St, Topeka, KS 66604-3174 | 2017-05-22 |
| 1932635612 | Harmony Medical Clinic | Clinic/Center | 2290 N Tyler Rd Ste 300, Wichita, KS 67205-8760 | 2017-05-02 |
| 1568904415 | Saint Luke's Hospital of Allen County, Inc | Clinic/Center | 111 S 9th St, Humboldt, KS 66748-1809 | 2016-11-09 |
| 1861843096 | Harmony Chiropractic, P.a. | Clinic/Center | 1608 W 9th St, Apt 6, Lawrence, KS 66044-2410 | 2016-06-29 |
| Find all providers with the same taxonomy | ||||
| City | OVERLAND PARK |
| Zip Code | 66212 |
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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.