Progressive Homecare Services Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROGRESSIVE HOMECARE SERVICES INC.

Practice address

4024 Barrett Dr
Raleigh, NC 27609-6625

Phone

(919) 694-6402

Fax

(800) 875-5876

NPI assigned

Oct 8, 2018

Organization subpart

No

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

Authorized official

Name

Llewellyn Hicks

Title

President

Phone

(919) 520-1783

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1346715208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 MISSIONARY RIDGE DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276106349",
            "telephone_number": "919-520-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096625",
            "telephone_number": "919-694-6402",
            "fax_number": "800-875-5876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4024 Barrett Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096625",
            "country_code": "US",
            "telephone_number": "919-694-6402",
            "fax_number": "800-875-5876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROGRESSIVE HOMECARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "LLEWELLYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-520-1783"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.