OrganizationActive
Passport Health Holdings, LLC
NPI 1053262311 · Community Health Worker · Palm Bay, FL
Passport Health Holdings, LLC is a Community Health Worker organization in Palm Bay, FL (NPI 1053262311).
Provider details
- NPI number
- 1053262311
- Entity type
- Organization
- Primary specialty
- Community Health WorkerOther Service Providers
- Organization subpart
- No
- Authorized official
- Juana Slack, Medical Billing Specialist(480) 646-9086
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4650 Lipscomb Street N.e.
Suite 33
Palm Bay, FL 32905
Phone: (877) 358-8648
Fax: (877) 877-6875
Street-level locationGet directions
Mailing address
4343 East Outlier Blvd.
Phoenix, AZ 85008-6507
Other names (DBA / former)
- Doing business as
- Passport Health
Registry dates
- Enumerated
- 2026-02-04
- Last updated
- 2026-02-04
Frequently asked questions
- What is Passport Health Holdings, LLC's NPI number?
- Passport Health Holdings, LLC's National Provider Identifier (NPI) is 1053262311, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Passport Health Holdings, LLC?
- Passport Health Holdings, LLC is classified in the NPPES registry as Community Health Worker (Other Service Providers).
- Where is Passport Health Holdings, LLC located?
- Passport Health Holdings, LLC's practice location on file with NPPES is 4650 Lipscomb Street N.e., Palm Bay, FL 32905.
- What is Passport Health Holdings, LLC's phone number?
- The practice phone number listed in the NPPES registry for Passport Health Holdings, LLC is (877) 358-8648.
- Who is the authorized official for Passport Health Holdings, LLC?
- The authorized official listed on Passport Health Holdings, LLC's NPPES record is Juana Slack, Medical Billing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Passport Health Holdings, LLC's NPI active?
- Yes — Passport Health Holdings, LLC's NPI (1053262311) is active in the NPPES registry as of the last update on 2026-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.