Active NPI
Progressive Care Home Health
- Home Health Agency
- Nacogdoches, TX
National Provider Identifier
1093809808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 009303
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162157502 | Medicaid | TX |
Other names 1
- 1st Choice Home Health
National Provider Directory
National Provider DirectoryLocations
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.