Progressive Home Care Fort Worth Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

011221 Issued in TX

Legal business name

PROGRESSIVE HOME CARE FORT WORTH INC.

Doing business as

Progressive Home Care Fort Worth Inc.

Practice address

4425 Ida Way
Fort Worth, TX 76119-4065

Phone

(817) 534-9100

Fax

(210) 543-2989

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Darren H. Brown

Title

Alternate Administrator

Phone

(210) 543-9081

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Progressive Home Care Fort Worth Inc. Doing business as

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366658098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 COUNTY ROAD 2757",
            "city": "MICO",
            "state": "TX",
            "postal_code": "780565469",
            "telephone_number": "210-543-9081",
            "fax_number": "210-543-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 IDA WAY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761194065",
            "telephone_number": "817-534-9100",
            "fax_number": "210-543-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HOME CARE FORT WORTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "DARREN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "ALTERNATE ADMINISTRATOR",
        "authorized_official_telephone_number": "210-543-9081",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HCCSA LICENSE #",
            "identifier": "011221",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Progressive Home Care Fort Worth Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Home Health Agency in Texas

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.