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Contact Information

PASSPORT HEALTH HOLDINGS, LLC
10274 ALLIANCE RD
BLUE ASH, OH45242
 Phone: 877-358-8648
 Fax: 877-877-6875
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community Health Worker

172V00000X
Indicates primary specialty

NPI Profile & details for PASSPORT HEALTH HOLDINGS, LLC

NPI Number 1578435566
LBN Legal business name PASSPORT HEALTH HOLDINGS, LLC
Authorized official JUANA SLACK - (MEDICAL BILLING SPECIALIST)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2025
Last updated 09/19/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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