Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Passport Health Holdings, LLC

Organization Community Health Worker · NPI 1972933786

Passport Health Holdings, LLC is a Community Health Worker in Fairlawn, Ohio. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

66 S Miller Rd Ste 103
Fairlawn, OH 44333
Phone: (877) 358-8648
Fax: (877) 877-6875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X
Public Health & General Preventive Medicine Physician Taxonomy 2083P0901X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1972933786
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juana Slack — Medical Billing Specialist · (480) 646-9086
Other names Passport Health; Pph Ohio Llc; Pph Ohio Llc
NPI enumeratedNovember 14, 2013
Last updated in NPPESApril 30, 2025
Certification dateApril 1, 2022
Mailing address4343 East Outlier Blvd., Suite 100w, Phoenix, AZ 85008-6507

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