Organization Active NPI

Progressive Life Homemaker & Companion, Inc

  • In Home Supportive Care Agency
  • Miami, FL
National Provider Identifier
1457714875
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
21526 Issued in FL
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

Updated by the provider on Dec 3, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
21526OtherFLSTATE OF FLORIDA AGENCY FOR HEALTH CARE ADMINISTRATION REGISTRATION
30212076OtherFLNURSE REGISTRY

Other names 1

  • Progressive Life Services Doing business as

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.