PASSPORT HEALTH HOLDINGS, LLC
NPI 1578435566
Community Health Worker in Blue Ash, OH

Active since September 19, 2025
10274 ALLIANCE RD, BLUE ASH, OH 45242(877) 358-8648(877) 877-6875 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Community Health Worker

About PASSPORT HEALTH HOLDINGS, LLC

This page provides the complete NPI Profile along with additional information for Passport Health Holdings, Llc, a provider established in Blue Ash, Ohio operating as a Community Health Worker. The healthcare provider is registered in the NPI registry with number 1578435566 assigned on September 2025. The practitioner's primary taxonomy code is 172V00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Juana Slack (Medical Billing Specialist)

NPI
1578435566 Verify this NPI
Provider Name
PASSPORT HEALTH HOLDINGS, LLC
Entity Type
Organization
Location Address
10274 ALLIANCE RD BLUE ASH, OH 45242
Location Phone
(877) 358-8648
Location Fax
(877) 877-6875
Mailing Address
4343 EAST OUTLIER BLVD. SUITE 100W PHOENIX, AZ 85008
Mailing Phone
(877) 358-8648
Mailing Fax
(877) 877-6875
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-19-2025
Last Update Date
09-19-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Health Worker

Taxonomy Code
172V00000X
Type
Other Service Providers
Taxonomy Description
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JUANA SLACK

Authorized Official Title
MEDICAL BILLING SPECIALIST
Authorized Official Phone
(480) 646-9086

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Social Worker (Clinical)
10274 ALLIANCE RD
CINCINNATI, OH 45242
Nurse Practitioner (Family)
10274 ALLIANCE RD
BLUE ASH, OH 45242
Dietitian, Registered
10274 ALLIANCE RD
BLUE ASH, OH 45242
Social Worker (Clinical)
10274 ALLIANCE RD
BLUE ASH, OH 45242
Family Medicine
10274 ALLIANCE RD
BLUE ASH, OH 45242
Clinic/Center (Medical Specialty)
10274 ALLIANCE RD
CINCINNATI, OH 45242
Clinic/Center (Medical Specialty)
10274 ALLIANCE RD
BLUE ASH, OH 45242
Registered Nurse (Community Health)
10274 ALLIANCE RD
BLUE ASH, OH 45242
Family Medicine
10274 ALLIANCE RD
BLUE ASH, OH 45242

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578435566, enumerated as an "organization" on September 19, 2025.

The provider is located at 10274 ALLIANCE RD BLUE ASH, OH 45242 and the phone number is (877) 358-8648.

Community Health Worker with taxonomy code 172V00000X.