PASSPORT HEALTH HOLDINGS, LLC
NPI 1093515363
Community Health Worker in Falls Church, VA

NPI Status: Active since March 17, 2025

Contact Information

7777 LEESBURG PIKE
SUITE 208S
FALLS CHURCH, VA
ZIP 22043
Phone: (877) 358-8648
Fax: (877) 877-6875

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  • 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 Falls Church, Virginia operating as a Community Health Worker. The healthcare provider is registered in the NPI registry with number 1093515363 assigned on March 2025. The practitioner's primary taxonomy code is 172V00000X. The provider is registered as an organization and their NPI record was last updated March 2025. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Juana Slack (Medical Billing Specialist)

NPI
1093515363
Provider Name
PASSPORT HEALTH HOLDINGS, LLC
Entity Type
Organization
Location Address
7777 LEESBURG PIKE SUITE 208S FALLS CHURCH, VA 22043
Location Phone
(877) 358-8648
Location Fax
(877) 877-6875
Mailing Address
4343 EAST OUTLER 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
03-17-2025
Last Update Date
03-17-2025
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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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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093515363
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2018310110312
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 1 + 0 + 1 + 1 + 0 + 3 + 1 + 2 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1093515363 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629259155 LISA ANN WELCH MOT, OT/L
Individual
Occupational Therapist7777 LEESBURG PIKE #306S - MEDSTAR VNA
FALLS CHURCH, VA 22043
(703) 748-1533
1336764455 MARYAM AVCI
Individual
Behavior Analyst7777 LEESBURG PIKE
FALLS CHURCH, VA 22043
(703) 847-0000
1912472051ALL SECURED HOME HEALTH SERVICES, LLC
Organization
Home Health7777 LEESBURG PIKE SUITE 416N
FALLS CHURCH, VA 22043
(571) 395-4302
1912759671 HODAN WARSAME
Individual
Home Health7777 LEESBURG PIKE
FALLS CHURCH, VA 22043
(703) 689-1749
1467292227AYA HOME HEALTH CARE LLC
Organization
Home Health7777 LEESBURG PIKE
FALLS CHURCH, VA 22043
(571) 354-5529

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093515363, enumerated in the NPI registry as an "organization" on March 17, 2025

The provider is located at 7777 Leesburg Pike Suite 208s Falls Church, Va 22043 and the phone number is (877) 358-8648

This medical organization specializes in Community Health Worker with taxonomy code 172V00000X

This NPI record was last updated on March 17, 2025. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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