Progressive Nursing Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HH167 Issued in ID

Legal business name

PROGRESSIVE NURSING SERVICES, INC

Practice address

1514 Shoshone St
Boise, ID 83705-2350

Phone

(208) 336-9898

Fax

(208) 344-0536

NPI assigned

Apr 7, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Karen M Young, RN

Title

Owner Administrator

Phone

(208) 336-9898

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Bluebird Home Health, LLC

  • Home Health Agency
  • Meridian, ID
  • NPI 1861082588

  Sold to, 2021-05-01

  CMS change of ownership

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104889526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 SHOSHONE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052350",
            "telephone_number": "208-336-9898",
            "fax_number": "208-344-0536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 SHOSHONE ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837052350",
            "telephone_number": "208-336-9898",
            "fax_number": "208-344-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE NURSING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER ADMINISTRATOR",
        "authorized_official_telephone_number": "208-336-9898",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ID",
            "license": "HH167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "10014662",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF IDAHO",
            "identifier": "02345",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James L Proffitt, MD
• Progressive Behavior Services
• Progressive Behavior Services
• Progressive Behavior Services
• Progressive Behavior Services
• Progressive Nursing Staff PRN, Inc.
• Christopher Prokosch, MD
• Prolific Horizons Counseling Services LLC
• Prompt Aid Med Inc
• Prov16, LLC

• Home Health Agency in Boise, ID
• Providers in Boise, ID by specialty
• Home Health Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.