Organization Active NPI

Progressive Homecare Services Inc.

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1346715208
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
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
Last updated
Oct 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Authorized official

Name
Llewellyn HicksNPI 1669778478
Title
President
Phone
(919) 520-1783

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4024 Barrett Dr
Raleigh, NC 27609-6625

Mailing address

7013 Missionary Ridge Dr
Raleigh, NC 27610-6349
Phone (919) 520-1783

Other practice location 1

4024 Barrett Dr
Raleigh, NC 27609-6625
Phone (919) 694-6402

National Provider Directory

National Provider Directory

Locations

4024 Barrett Dr
Raleigh, NC 27609
Phone (919) 302-3274

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

Other providers in Raleigh, NC

Sources for this page

  • 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.