Passion Health LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PASSION HEALTH LLC

Practice address

2550 W Union Hills Dr Ste 350
Phoenix, AZ 85027-5187

Phone

(480) 296-5429

Fax

(480) 900-8525

NPI assigned

Apr 12, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Nicholas Xavier Cicciarelli

Title

Administrator

Phone

(480) 296-5429

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622851200000",
    "number": "1326628512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 W UNION HILLS DRIVE",
            "address_2": "SUITE 350 OFFICE 317B",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275187",
            "telephone_number": "480-296-5429",
            "fax_number": "480-900-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 W UNION HILLS DR STE 350",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850275187",
            "telephone_number": "480-296-5429",
            "fax_number": "480-900-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSION HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-06-05",
        "certification_date": "2021-06-05",
        "status": "A",
        "authorized_official_last_name": "CICCIARELLI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "XAVIER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-296-5429",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marina Pass, PHARM D
• Jade Marie Passamonte
• Andrea Reyes Passarella
• Mark S. Passell, D.D.S.
• Lori Ann Passineau, LPN
• Passport Health
• Passport Health Holdings LLC
• Passport Health Holdings, LLC
• Pastalino Manor 4
• Pastalino Manor LLC

• Internal Medicine Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2021; 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.