Organization Active NPI

Progressive Hospital

  • Long Term Care Hospital
  • Las Vegas, NV
National Provider Identifier
1609873215
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
2681HOS-12 Issued in NV
Legal business name
PROGRESSIVE HOSPITAL
Practice address
4015 S McLeod Dr
Las Vegas, NV 89121-4305
Phone
(702) 433-2200
Fax
(702) 731-0581
NPI assigned
Jun 29, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Rosemary Thiele III
Title
Ceo
Phone
(702) 433-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 2681HOS-12 NV Primary

Addresses

Primary practice location

4015 S McLeod Dr
Las Vegas, NV 89121-4305

Mailing address

4015 S McLeod Dr
Las Vegas, NV 89121-4305
Phone (702) 433-2200

Other identifiers 1

IdentifierTypeStateIssuer
2681HOS-12OtherNVHOSPITAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609873215. Details of each certification follow.

Hospital certification: CCN 290044

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
PROGRESSIVE HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Dec 31, 2003
Provider type (POS)
Hospital – Short-term
Participating since
Mar 7, 2000
Last certification
Mar 7, 2000
Beds
24
Ownership / control type
Private (for profit)
Most recent change of ownership
Mar 1, 2002 (2 total)
Facility address
4015 South McLeod
Las Vegas, NV 89121

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609873215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 S MCLEOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214305",
            "telephone_number": "702-433-2200",
            "fax_number": "702-731-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S MCLEOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214305",
            "telephone_number": "702-433-2200",
            "fax_number": "702-731-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THIELE",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-433-2200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NV",
            "license": "2681HOS-12",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL LICENSE",
            "identifier": "2681HOS-12",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.