Active NPI
FDN Enterprises LLC
Doing business as Progressive Home Health Agency
- Home Health Agency
- Buda, TX
National Provider Identifier
1053525006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 008988
- Legal business name
- FDN ENTERPRISES LLC
- Doing business as
- Progressive Home Health Agency
- Practice address
- 1766 FM 967
Suite B
Buda, TX 78610-2984 - Phone
- (512) 312-5222
- NPI assigned
- May 9, 2007
- Last updated
- Nov 1, 2019
- Organization subpart
- Yes
- Parent organization
- FDN ENTERPRISES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mercy E Nkansah
- Title
- Ceo-Chief Operating Officer
- Phone
- (512) 312-5222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 008988 | TX | Primary |
Addresses
Primary practice location
1766 FM 967
Suite B
Buda, TX 78610-2984
Mailing address
1766 FM 967 Ste B
Buda, TX 78610-2985
Phone (512) 312-2222
Other names 1
- PROGRESSIVE HOME HEALTH AGENCY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120326000267 | TX | Part A Provider - Home Health Agency | 1052571213 | Practice locations: Buda, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1053525006. Details of each certification follow.
Home health agency certification: CCN 453125
- Legal name
- FDN ENTERPRISES LLC
- Doing business as
- PROGRESSIVE HOME HEALTH AGENCY
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 24, 2004
- Last certification
- Nov 21, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Dec 23, 2002 in TX
- Enrollment address
- 1760 FM 967
Ste B
Buda, TX 78610-3048
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Progressive Home Health Agency
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jun 24, 2004
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Part of
- FDN Enterprises LLC
Locations
1766 FM 967
Ste B
Buda, TX 78610
Phone (512) 312-5222
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Strat Healthcare Services Inc | 5% Or Greater Direct Ownership Interest | Nov 1, 2019 | 100% |
| Operational/Managerial Control | Oct 22, 2019 | ||
| Lucy Estrada | 5% Or Greater Direct Ownership Interest | Nov 1, 2019 | |
| Corporate Director | Nov 1, 2019 | ||
| W-2 Managing Employee | Nov 1, 2019 | 10% | |
| Operational/Managerial Control | Nov 1, 2019 | 10% | |
| Marisol Macias | 5% Or Greater Direct Ownership Interest | Nov 1, 2019 | 5% |
| Corporate Director | Nov 1, 2019 | 5% | |
| W-2 Managing Employee | Jan 15, 2015 | ||
| Operational/Managerial Control | Nov 1, 2019 | 5% | |
| Mercy E Nkansah | 5% Or Greater Direct Ownership Interest | Nov 1, 2019 | 85% |
| Corporate Officer | Nov 1, 2019 | ||
| Corporate Director | Nov 1, 2019 | 85% | |
| W-2 Managing Employee | Jan 1, 2004 |
Practitioners & affiliated clinicians
Affiliated clinicians 25
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- Leander, TX
- NPI 1396777355
Home health agency
-
- Geriatric Medicine (Internal Medicine) Physician
- Austin, TX
- NPI 1053699884
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1572566400000",
"number": "1053525006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1766 FM 967 STE B",
"city": "BUDA",
"state": "TX",
"postal_code": "786102985",
"telephone_number": "512-312-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1766 FM 967",
"address_2": "SUITE B",
"city": "BUDA",
"state": "TX",
"postal_code": "786102984",
"telephone_number": "512-312-5222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FDN ENTERPRISES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "FDN ENTERPRISES LLC",
"enumeration_date": "2007-05-09",
"last_updated": "2019-11-01",
"status": "A",
"authorized_official_last_name": "NKANSAH",
"authorized_official_first_name": "MERCY",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "CEO-CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "512-312-5222"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "008988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PROGRESSIVE HOME HEALTH AGENCY",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "PROGRESSIVE HOME HEALTH AGENCY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Buda, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.