PASSPORT HEALTH HOLDINGS, LLC


Address: 32 Elm Street, Lower Level, New Haven, CT 06510-2074
Phone: 8773588648

PASSPORT HEALTH HOLDINGS, LLC (NPI# 1528540135) 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) 1528540135
Entity Type Organization
Organization Name PASSPORT HEALTH HOLDINGS, LLC
Other Organization Name PASSPORT HEALTH
Practice Address 32 Elm Street
Lower Level
New Haven
CT 06510-2074
Mailing Address 8324 E Hartford Dr
Suite 200
Scottsdale
AZ 85255-7801
Practice Telephone 8773588648
Practice Fax Number 8773588648
Mailing Telephone 8773588648
Mailing Fax Number 8778776875
Enumeration Date 2018-08-30
Last Update Date 2018-08-30
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
Y 172V00000X Community Health Worker Other Service Providers

Other Provider/Organization Names

Other Name Type Code
Passport Health Doing Business As Name - Organization

Other Provider IDs and Locations

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
1902450406 Passport Health Holdings, LLC Community Health Worker 345 Boylston Street Floor 2, Suite 202, Newton, MA 02459-2863 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

Other Data Sources

Entity Type Entity Name Entity Address
Massachusetts Corporations PASSPORT HEALTH HOLDINGS, LLC 8324 E. Hartford Dr. Ste. 200, Scottsdale, AZ 85255

Office Location

Street Address 32 ELM STREET
LOWER LEVEL
City NEW HAVEN
State CT
Zip Code 06510-2074

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669654984 Juan Carlos Cleves-bayon Psychiatry & Neurology 32 Elm Street, New Haven, CT 06510 2007-11-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336757319 Matthew Peter O'connell Pharmacist 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 2020-07-16
1477171460 Huy Henry Le Pharmacist 20 York Street, Ps-ll, New Haven, CT 06510 2020-07-07
1144855263 Daniel Jacobs Student in an Organized Health Care Education/Training Program 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 2020-03-09
1346898467 Cem Cengiz Internal Medicine Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 2019-09-02
1295292290 Emily Elizabeth Samuel Counselor 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 2019-02-26
1639652779 Laura Goldblum Social Worker 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 2018-09-14
1477049138 Joseph Lawrence Earles Otolaryngology Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 2018-07-06
1508356759 Rebecca Anne Beagan Student in an Organized Health Care Education/Training Program 20 York Street- Pediatrics, New Haven, CT 06510 2018-05-14
1104316405 Emma Sophie Taylor-salmon Student in an Organized Health Care Education/Training Program 20 York Street - Pediatrics, New Haven, CT 06510 2018-05-14
1376033563 Wael S Ibrahim Student in an Organized Health Care Education/Training Program 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 2018-05-14
Find all providers in zip 06510

Taxonomy Information

Taxonomy Code 172V00000X
Grouping Other Service Providers
Classification Community Health Worker

Taxonomy Definition

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/

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003203985 Sascha Ilana Van Creveld Community Health Worker 345 Stevenson Rd, New Haven, CT 06515-2470 2015-04-19
1932331170 Bessie Sowell. Williams Community Health Worker 152 Exchange Street, New Haven, CT 06513 2009-08-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1447869029 Deserie Aline Clack-wilson Community Health Worker 1000 Lafayette Blvd Ste 1128, Bridgeport, CT 06604-4725 2020-07-29
1679194245 Nicole S Barstow Community Health Worker 49 Day St Apt 213, Norwalk, CT 06854-4903 2020-05-05
1881232767 W & J Homecare Community Health Worker 847 W Main St Ste 2r, Branford, CT 06405-3456 2019-12-11
1003313065 Brandon Lamar Holley Community Health Worker 76 Phelps St, East Hartford, CT 06108-2259 2018-04-06
1548708951 Alyssa Marchese Community Health Worker 66 Ring St, Putnam, CT 06260-2116 2017-02-06
1124564646 Linda B Lemnotis Community Health Worker 228 West St, Plantsville, CT 06479-1145 2017-01-08
1306393947 Eric Washington Community Health Worker 34 Spindle Hill Road, Wellmore Inc Valiant House, Wolcott, CT 06716-1732 2016-09-01
1336529445 Amy Kathryn Damato Community Health Worker 19 Saddle Hill Cir, Newington, CT 06111-1826 2015-06-03
1356734206 Naida R Rosado Community Health Worker 188 Faber Ave, Waterbury, CT 06704-1832 2015-03-16
1477943298 Amanda Potter Community Health Worker 16 Old Barn Rd, East Windsor, CT 06088-1726 2015-02-01
Find all providers with the same taxonomy

Competitor

Search similar providers

City NEW HAVEN
Zip Code 06510

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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