Progressive Home Health & Hospice LLC
Organization Active NPI Home Health Agency · Grand Island, NE
NPI 1508006982 · NPPES record last updated Jan 6, 2025
Key facts
- NPI
- 1508006982
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- HHA200907 (NE)
- Legal business name
- PROGRESSIVE HOME HEALTH & HOSPICE LLC
- Practice address
- 3032 W Stolley Park Rd
Grand Island, NE 68801-7227 - Phone
- (308) 589-0170
- NPI assigned
- Feb 25, 2009
- Organization subpart
- No
Authorized official
- Name
- Angela Eddins
- Title
- Governing Board Member
- Phone
- (817) 469-6739
Change of ownership 1
Facilities with the same owner 9
Affiliated clinicians 73
-
Kent Patrick Allison, M.D.
-
Jay C Anderson, M.D.
-
Bhavish Aubeelauck, M.D
-
Kaitlyn Beranek, P.A.
-
Isaac Joseph Berg, M.D.
-
Timothy Blecha, MD
-
Cassandra Jo Brader, APRN- FNP
-
Jennifer Lee Brown, M.D.
-
Raymond Lionel Carlson, D.O.
-
Jason Michael Citta, M.D.
-
Ryan D Crouch, D.O.
-
Michael Alexander Donner, M.D.
-
Jesse Dunn, M.D.
-
Beth M Ernst, MD
-
Todd M Fago, MD
-
Tyler Felton, MD
-
Tamaka K Gangwish, APRN-NP
-
Cortney A. Geisler, FNP-C
-
Anirban Ghosh, MD
Medicare Care Compare: Home health agency
- Listed as
- Angels Care Progressive Home Health
- Overall star rating
- ★★★★☆ 4 of 5
- Ownership
- Proprietary
- Certified
- Jul 5, 2012
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 28D1097793 | Angels Care Progressive Home Health | Certificate of waiver | Apr 2, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Home health agency certification: CCN 287144
- Legal name
- PROGRESSIVE HOME HEALTH & HOSPICE LLC
- Doing business as
- ANGELS CARE PROGRESSIVE HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 5, 2012
- Last certification
- Jul 26, 2021
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Incorporated
- Feb 3, 2009 in NE
- Enrollment address
- 3032 W Stolley Park Rd
Grand Island, NE 68801-7227
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Heath Beaty |
Corporate Officer |
Nov 4, 2020 | |
| Evan Uden |
W-2 Managing Employee |
Aug 4, 2025 | |
| Kimberly Grabenstein |
W-2 Managing Employee |
Jul 7, 2025 | |
| Angela W Eddins |
5% Or Greater Indirect Ownership Interest | Nov 4, 2020 | 50% |
| Corporate Officer |
Nov 4, 2020 | ||
| Corporate Director |
Nov 4, 2020 | ||
| Mark a Eddins |
5% Or Greater Indirect Ownership Interest | Nov 4, 2020 | 50% |
| Corporate Officer |
Nov 4, 2020 | ||
| Corporate Director |
Nov 4, 2020 | ||
| Acsk Home Care, Inc. |
5% Or Greater Direct Ownership Interest | Nov 4, 2020 | 100% |
| Cindy M Godfrey |
W-2 Managing Employee |
Jun 13, 2022 |
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Mar 29, 2021 | Change of Ownership |
Angels Care Hospice |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111222000111 | NE | Part a Provider - Home Health Agency | 9335297514 | Practice locations: Kearney, NE; Grand Island, NE |
National Provider Directory
Locations
3032 W Stolley Park Rd
Grand Island, NE 68801
Phone (308) 589-0170
2550 N Diers Ave
Ste K
Grand Island, NE 68803
5308 Parklane Dr
Ste 2
Kearney, NE 68847
Phone (308) 223-4617
5002 Dodge St
Ste 206
Omaha, NE 68132
Phone (402) 933-5836
10834 Old Mill Rd
Ste 1
Omaha, NE 68154
10040 Regency Cir
Ste 330
Omaha, NE 68114
Phone (402) 933-5836
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HHA200907 | NE | Yes |
Addresses
Primary practice location
3032 W Stolley Park Rd
Grand Island, NE 68801-7227
Mailing address
2301 FM 1187
Suite 203
Mansfield, TX 76063-3758
Phone (817) 469-6739
Other practice location 1
5308 Parklane Dr Ste 2
Kearney, NE 68847-8629
Phone (308) 223-4617
Other names
- Omaha-Select Hospice & Palliative Care LLC
NPI Registry JSON
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736121600000",
"number": "1508006982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 FM 1187",
"address_2": "SUITE 203",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760633758",
"telephone_number": "817-469-6739",
"fax_number": "817-801-3486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3032 W STOLLEY PARK RD",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688017227",
"telephone_number": "308-589-0170"
}
],
"practiceLocations": [
{
"address_1": "5308 Parklane Dr Ste 2",
"address_purpose": "LOCATION",
"city": "Kearney",
"state": "NE",
"postal_code": "688478629",
"country_code": "US",
"telephone_number": "308-223-4617",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PROGRESSIVE HOME HEALTH & HOSPICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-25",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A",
"authorized_official_last_name": "EDDINS",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "GOVERNING BOARD MEMBER",
"authorized_official_telephone_number": "817-469-6739"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NE",
"license": "HHA200907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Omaha-Select Hospice & Palliative Care LLC",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Omaha-Select Hospice & Palliative Care LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.