Active NPI
Progressive Life Homemaker & Companion, Inc
- In Home Supportive Care Agency
- Miami, FL
National Provider Identifier
1457714875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 21526
- Legal business name
- PROGRESSIVE LIFE HOMEMAKER & COMPANION, INC
- Practice address
- 10300 SW 72ND St Ste 447
Miami, FL 33173-3021 - Phone
- (786) 975-5108
- Fax
- (305) 960-7414
- NPI assigned
- Apr 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lourdes Cazola Gutierrez
- Title
- President
- Phone
- (786) 975-5108
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | 21526 | FL | Primary |
Addresses
Primary practice location
10300 SW 72ND St Ste 447
Miami, FL 33173-3021
Mailing address
10300 SW 72ND St Ste 447
Miami, FL 33173-3021
Phone (786) 975-5108
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21526 | Other | FL | STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION REGISTRATION |
| 30212076 | Other | FL | NURSE REGISTRY |
Other names 1
- Progressive Life Services
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459555200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606953600000",
"number": "1457714875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10300 SW 72ND ST STE 447",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733021",
"telephone_number": "786-975-5108",
"fax_number": "305-960-7414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10300 SW 72ND ST STE 447",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733021",
"telephone_number": "786-975-5108",
"fax_number": "305-960-7414"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROGRESSIVE LIFE HOMEMAKER & COMPANION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-02",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A",
"authorized_official_last_name": "CAZOLA GUTIERREZ",
"authorized_official_first_name": "LOURDES",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "786-975-5108",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": "21526",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION REGISTRATION",
"identifier": "21526",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE REGISTRY",
"identifier": "30212076",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Progressive Life Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Miami, FL
- Progress Rehabilitation, Inc.
- Progressive Behavior Analyst Corp
- Progressive Behavior Corp.
- Progressive Health Services, Inc.
- Progressive Kids Therapy Inc
- Progressive Medical Center Inc
- Progressive Medical Supply, Inc.
- Progressive Mental Health Clinic Corp
- Progressive Physical Therapy Center Inc
- Progressive Rehabilitation & Orthopedic Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.