Progess Support Service Inc.

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

PROGESS SUPPORT SERVICE INC.

Practice address

12320 NW 13TH CT
Pembroke Pines, FL 33026-3817

Phone

(786) 274-3971

NPI assigned

Aug 8, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Rosentle Roobertha Shaw

Title

President

Phone

(786) 274-3971

Specialties & licenses 1

Addresses

Other names 1

• Progrosive Support Inc. Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504051200000",
    "number": "1033634340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12320 NW 13TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263817",
            "telephone_number": "786-274-3971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12320 NW 13TH CT",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330263817",
            "telephone_number": "786-274-3971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGESS SUPPORT SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-30",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ROSENTLE",
        "authorized_official_middle_name": "ROOBERTHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-274-3971",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progrosive Support Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Progrosive Support Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Developmental Disabilities Clinic/Center in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.