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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172V00000X | Community Health Worker | Other Service Providers |
Other Name | Type Code |
---|---|
Passport Health | Doing Business As Name - Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Massachusetts Corporations | PASSPORT HEALTH HOLDINGS, LLC | 8324 E. Hartford Dr. Ste. 200, Scottsdale, AZ 85255 |
Street Address |
32 ELM STREET LOWER LEVEL |
City | NEW HAVEN |
State | CT |
Zip Code | 06510-2074 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669654984 | Juan Carlos Cleves-bayon | Psychiatry & Neurology | 32 Elm Street, New Haven, CT 06510 | 2007-11-28 |
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 Code | 172V00000X |
Grouping | Other Service Providers |
Classification | Community Health Worker |
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/ |
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 |
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 |
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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.