OrganizationActive
Passport Health Holdings, LLC
NPI 1972933786 · Community Health Worker · Fairlawn, OH
Provider details
- NPI number
- 1972933786
- 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
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES 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
66 S Miller Rd
Ste 103
Fairlawn, OH 44333
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)
- Former legal business name
- Pph Ohio LLC
- Former legal business name
- Pph Ohio LLC
- Doing business as
- Passport Health
Registry dates
- Enumerated
- 2013-11-14
- Last updated
- 2025-04-30
- Certified
- 2022-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.