OrganizationActive
Passport Health Holdings, LLC
NPI 1386443356 · Community Health Worker · Reston, VA
Provider details
- NPI number
- 1386443356
- 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
Practice location
11150 Sunset Hills Road
Suite 308
Reston, VA 20190
Phone: (877) 358-8648
Fax: (877) 877-6875
Approximate (ZIP-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
- 2025-03-11
- Last updated
- 2025-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.