Organization Active NPI

Progressive Care Home Health

  • Home Health Agency
  • Nacogdoches, TX
National Provider Identifier
1093809808
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
009303 Issued in TX
Legal business name
PROGRESSIVE CARE HOME HEALTH
Practice address
5021 Justin St
Ste. a
Nacogdoches, TX 75965-1306
Phone
(936) 559-5559
Fax
(936) 559-5558
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Authorized official

Name
Mrs. Julia Trahan
Title
Administrator
Phone
(936) 559-5559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 009303 TX Primary

Addresses

Primary practice location

5021 Justin St
Ste. a
Nacogdoches, TX 75965-1306

Mailing address

5021 Justin St
Ste. a
Nacogdoches, TX 75965-1306
Phone (936) 559-5559

Other identifiers 1

IdentifierTypeStateIssuer
162157502MedicaidTX

Other names 1

  • 1st Choice Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

5021 Justin St
Ste A
Nacogdoches, TX 75965
Phone (936) 559-5559

915 E Austin St
Nacogdoches, TX 75965
Phone (936) 559-5559

5032 Justin St
Ste 301
Nacogdoches, TX 75965
Phone (936) 559-5559

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1093809808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5021 JUSTIN ST",
            "address_2": "STE. A",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651306",
            "telephone_number": "936-559-5559",
            "fax_number": "936-559-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 JUSTIN ST",
            "address_2": "STE. A",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759651306",
            "telephone_number": "936-559-5559",
            "fax_number": "936-559-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE CARE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "TRAHAN",
        "authorized_official_first_name": "JULIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "936-559-5559",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "009303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162157502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1st Choice Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.