Passport Health Holdings, LLC

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

PASSPORT HEALTH HOLDINGS, LLC

Practice address

1615 S. Eucalyptus Ave
Suite #206
Broken Arrow, OK 74012

Phone

(844) 358-8648

Fax

(877) 877-6875

NPI assigned

Feb 20, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Paul Fishburn

Title

Coo

Phone

(480) 646-9020

Specialties & licenses 1

Addresses

Tax ID family

Passport Health Holdings LLC218 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

  • Community Health Worker
  • Edmond, OK
  • NPI 1306544432
  NPD tax ID
• Passport Health Holdings, LLC

  • Community Health Worker
  • Norman, OK
  • NPI 1912605932
  NPD tax ID

Locations

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1639877657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 EAST OUTLIER BLV",
            "address_2": "SUITE 100W",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086507",
            "telephone_number": "844-358-8648",
            "fax_number": "877-877-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 S. EUCALYPTUS AVE",
            "address_2": "SUITE #206",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "74012",
            "telephone_number": "844-358-8648",
            "fax_number": "877-877-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASSPORT HEALTH HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "FISHBURN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "480-646-9020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylin Parks, SLP
• Bailey Parmiter
• Major Kinsey Chase Parnell, OTR/L
• Courtney Paslay
• Erin Paslay, M.S., CCC-SLP
• Bhavisha Patel, MS CCC-SLP
• Manish R Patel, PHARMD
• Umang Patel
• Pathfinders United, LLC
• Patient Care Services of Saint Francis Inc

• Community Health Worker in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Community Health Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.