PASSPORT HEALTH HOLDINGS LLC


Address: 400 N Center Drive, Suite 108, Norfolk, VA 23502-0002
Phone: 8773588648

PASSPORT HEALTH HOLDINGS LLC (NPI# 1518397405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518397405
Entity Type Organization
Organization Name PASSPORT HEALTH HOLDINGS LLC
Other Organization Name PPH GLOBAL SERVICES LLC
Practice Address 400 N Center Drive
Suite 108
Norfolk
VA 23502-0002
Mailing Address 8324 E Hartford Dr
Ste 200
Scottsdale
AZ 85255-5466
Practice Telephone 8773588648
Practice Fax Number 8778776875
Mailing Telephone (877) 358-8648
Mailing Fax Number 8778776875
Enumeration Date 2013-11-14
Last Update Date 2017-08-25
Authorized Official Name MR. DOUG SHACKELL (DIRECTOR OF FINANCE)
Authorized Official Telephone 4806469024
Is Organization Subpart N

Taxonomy

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 VA Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
PPH Global Services LLC Other Name - Individual/Organization

Other Provider IDs and Locations

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
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
1407189392 Passport Health Holdings LLC Preventive Medicine 8249 W 95th St, Ste 105, Overland Park, KS 66212-3200 2009-09-10

Office Location

Street Address 400 N CENTER DRIVE
SUITE 108
City NORFOLK
State VA
Zip Code 23502-0002

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295210706 Advantage Home Care, LLC Home Health 5353 E. Princess Anne Rd., Suite C, Norfolk, VA 23502 2018-10-01
1336627207 Sentara Medical Group Emergency Medicine 844 Kempsville Rd Ste 103, Norfolk, VA 23502 2018-08-02
1548753833 Murphy's Absolute Home Care LLC Home Health 983 Ingleside Rd Ste 6, Norfolk, VA 23502 2018-06-11
1487143939 Valerie Sowder Social Worker 6275 E Virginia Beach Blvd Ste 301, Norfolk, VA 23502 2018-05-09
1164938841 Accupoint Diagnostics Clinical Medical Laboratory 6161 Kempsville Cir Ste 202, Norfolk, VA 23502 2017-12-18
1467979351 Lakeshia Louise Perryman Counselor 6325 N. Center Drive, Bldg 18, Suite 208, Norfolk, VA 23502 2017-08-23
1841536125 Golden Touch Enterprise Durable Medical Equipment & Medical Supplies 5680 Lowey Rd, Unit 410b, Norfolk, VA 23502 2012-12-14
1497029011 Kristine B Rand Counselor 6325 N Center Dr Ste 208, Norfolk, VA 23502 2012-02-29
1427343706 Erica Leigh Streander Pharmacist 471 North Military Hwy, Norfolk, VA 23502 2011-06-14
1215239330 Atlantic Physical Therapy Specialist/Technologist 5610 Lewis Rd, Norfolk, VA 23502 2010-11-22
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

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).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437462124 Active Chiropractic and Wellness Clinic/Center 2200 Colonial Ave, Suite 2, Norfolk, VA 23517-1915 2010-07-22
1972750420 Tidewater Weight Loss and Wellness Centers,inc. Clinic/Center 2468 E Little Creek Rd, Suite B, Norfolk, VA 23518-3231 2008-08-26
1821259409 Pnmc Clinic/Center 1115 Peddars Way, Norfolk, VA 23505-1429 2008-06-17
1467086660 Ourhealth Physician Group, LLC Clinic/Center 5800 Northampton Blvd, Norfolk, VA 23502-5513 2020-02-26
1003322777 Velocity Urgent Care, LLC Clinic/Center 1326 E Little Creek Rd, Norfolk, VA 23518-3952 2017-12-18
1033631601 Hendon Family Chiropractic, LLC Clinic/Center 957 W 21st St Ste F, Norfolk, VA 23517-1536 2017-07-14
1801318613 Gail D. Steckler, D.o., P.C. Clinic/Center 830 Kempsville Rd, Norfolk, VA 23502-3920 2017-07-13
1760919625 East Beach Urgent Care LLC Clinic/Center 9545 Shore Dr, Norfolk, VA 23518-1711 2017-05-22
1386005072 Hampton Roads Hyperbaric Therapy, Inc Clinic/Center 129 W Virginia Beach Blvd, Suite 140, Norfolk, VA 23510-2030 2016-03-09

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1831711902 Charlottesville Hyperbarics Corp Clinic/Center 925-a E Jefferson St, Charlottesville, VA 22902-5573 2020-05-12
1417579889 Health Bridge, LLC Clinic/Center 4198 Cox Rd Ste 102, Glen Allen, VA 23060-3328 2020-05-08
1851924088 First Light Clinic LLC Clinic/Center 706 Campbell Ave Sw, Roanoke, VA 24016-3534 2020-02-17
1912537440 B's Integrated Clinic, Pllc Clinic/Center 501 Rison St Ste 100, Danville, VA 24541-2426 2020-01-23
1770122723 Colonial Beach Health & Wellness Inc Clinic/Center 700 Mckinney Blvd Ste 1100, Colonial Beach, VA 22443-1934 2019-12-21
1104461896 Lung Specialists of Tidewater Pllc Clinic/Center 224 Avonlea Pointe, Chesapeake, VA 23322-4279 2019-11-17
1053952846 Mediluxe Clinic/Center 19349 Diamond Lake Dr, Leesburg, VA 20176-6596 2019-10-02
1720639503 Javan Wellness Ballston LLC Clinic/Center 4000 Wilson Blvd Ste D, Arlington, VA 22203-4401 2019-09-24
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Competitor

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City NORFOLK
Zip Code 23502

Improve Information

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Dataset Information

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.

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