Passport Health Holdings, LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

PASSPORT HEALTH HOLDINGS, LLC

Doing business as

Passport Health

Practice address

4011 Barbara Loop SE
Suite 106
Rio Rancho, NM 87124

Phone

(877) 358-8648

Fax

(877) 877-6875

NPI assigned

Aug 13, 2025

Last updated

Aug 13, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Juana Slack

Title

Medical Billing Specialist

Phone

(480) 646-9086

Specialties & licenses 1

Addresses

Other names 1

• Passport Health Doing business as

Tax ID family

Passport Health Holdings LLC219 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Passport Health Holdings, LLC

  dba Passport Health

  • Community Health Worker
  • Santa Fe, NM
  • NPI 1326920679
  NPD tax ID
• Passport Health Holdings, LLC

  dba Passport Health

  • Community Health Worker
  • Albuquerque, NM
  • NPI 1639051907
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1134005408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 EAST OUTLIER BLVD",
            "address_2": "SUITE 100W",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086507",
            "telephone_number": "877-358-8648",
            "fax_number": "877-877-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 BARBARA LOOP SE",
            "address_2": "SUITE 106",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "87124",
            "telephone_number": "877-358-8648",
            "fax_number": "877-877-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSPORT HEALTH HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "SLACK",
        "authorized_official_first_name": "JUANA",
        "authorized_official_title_or_position": "MEDICAL BILLING SPECIALIST",
        "authorized_official_telephone_number": "480-646-9086"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passport Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Anne Parish
• Abigail Parker
• Ashlyn Parks, LCSW
• Jesse Parrish, ED.S
• Sri Rama Krishna Benerji Paruchuri, M.D
• Aneri Patel, M.D.
• Patricia Conkling CNP LLC (Meadowlark Family Healthcare)
• Erin Patrick
• Lori E Paul, CCC-SLP
• Vanessa E Paul, LMSW

• Community Health Worker in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Community Health Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.