Progressive Home Health Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

A087051 Issued in KS

Legal business name

PROGRESSIVE HOME HEALTH CARE INC

Doing business as

Progressive Home Health & Hospice

Practice address

3500 N Rock Rd
Building 400
Wichita, KS 67226-1331

Phone

(316) 691-5050

Fax

(316) 691-5304

NPI assigned

Jun 22, 2006

Last updated

Oct 16, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shawn L McPherson

Title

Sec/Treas/Cfo

Phone

(316) 691-5050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PROGRESSIVE HOME HEALTH & HOSPICE Doing business as

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295761468. Details of each certification follow.

• CCN 171554 Hospice · Active · Details

Hospice certification: CCN 171554

Legal name

PROGRESSIVE HOME HEALTH CARE INC

Doing business as

PROGRESSIVE HOME HEALTH & HOSPICE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 30, 2004

Last certification

Aug 15, 2024

Ownership / control type

Proprietary - Individual

Organization structure

CorporationProprietary

Incorporated

Nov 27, 1995 in KS

Enrollment address

3500 N Rock Rd
BLDG 400
Wichita, KS 67226-1331

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Progressive Home Health Care Inc

  dba Progressive Home Health & Hospice

  • Home Health Agency
  • Wichita, KS
  • NPI 1548297062

  0244142602

  Same PAC ID

Listed as

Progressive Home Health & HospiceCCN 171554 · All quality measures

Ownership

Other

Certified

Mar 30, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Tax ID family

Progressive Home Health Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Progressive Home Health Care Inc

  dba Progressive Medical Staffing

  • Home Health Agency
  • Wichita, KS
  • NPI 1023054095
  NPD tax ID
• Progressive Home Health Care Inc

  dba Progressive Home Health & Hospice

  • Home Health Agency
  • Wichita, KS
  • NPI 1528095031
  NPD tax ID
• Progressive Home Health Care Inc

  dba Progressive Home Health & Hospice

  • Home Health Agency
  • Wichita, KS
  • NPI 1548297062
  NPD tax ID

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Michael G Ludlow, M.D.

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1124136239

  Hospice

  Care Compare affiliation
• Nathan Pfeifer

  • Family Medicine Physician
  • Wichita, KS
  • NPI 1750948188

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1295761468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N ROCK RD",
            "address_2": "BUILDING 400",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261331",
            "telephone_number": "316-691-5050",
            "fax_number": "316-691-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N ROCK RD",
            "address_2": "BUILDING 400",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672261331",
            "telephone_number": "316-691-5050",
            "fax_number": "316-691-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "MCPHERSON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "SEC/TREAS/CFO",
        "authorized_official_telephone_number": "316-691-5050",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "KS",
            "license": "A087051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100069320D",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROGRESSIVE HOME HEALTH & HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Wichita, KS
• Providers in Wichita, KS by specialty
• Community Based Hospice Care Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.

Verify at the official NPI Registry.