Progressive Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

PROGRESSIVE HOME CARE LLC

Doing business as

Progressive Home Care LLC

Practice address

6161 Busch Blvd Ste 305
Columbus, OH 43229-2556

Phone

(614) 598-6744

NPI assigned

Sep 25, 2020

Last updated

Aug 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diriye Nur Ali

Title

Executive

Phone

(614) 598-6744

Specialties & licenses 1

Addresses

Other names 1

• PROGRESSIVE HOME CARE LLC Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548877442. Details of each certification follow.

• CCN 369309 Home health agency · Active · Details

Home health agency certification: CCN 369309

Legal name

PROGRESSIVE HOME CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 25, 2022

Last certification

Apr 7, 2022

Organization structure

LLCProprietary

Incorporated

Aug 31, 2020 in OH

Enrollment address

6161 Busch Blvd
Ste 305
Columbus, OH 43229-2556

Listed as

Progressive Home Care LLCCCN 369309 · All quality measures

Ownership

-

Certified

Apr 25, 2022

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1548877442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6161 BUSCH BLVD STE 305",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292556",
            "telephone_number": "614-598-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6161 BUSCH BLVD STE 305",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432292556",
            "telephone_number": "614-598-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-25",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "DIRIYE",
        "authorized_official_middle_name": "NUR",
        "authorized_official_title_or_position": "EXECUTIVE",
        "authorized_official_telephone_number": "614-598-6744"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Columbus",
            "affiliation": "N",
            "endpointDescription": "OH",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6161 Busch Blvd Ste 305",
            "address_2": "6161 Busch Blvd Ste 305",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432292508",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PROGRESSIVE HOME CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PROGRESSIVE HOME CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.