NPIMap

Organization Active NPI

Progressive 2000 Home Health Care Inc

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1659323012
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROGRESSIVE 2000 HOME HEALTH CARE INC
Practice address
948 N Fairfax Ave
Suite 200
Los Angeles, CA 90046-7204
Phone
(323) 655-2011
Fax
(323) 655-2057
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Authorized official

Name
Mrs. Inna Shukhman, REGISTERED NURSE
Title
Administrator
Phone
(323) 655-2011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

948 N Fairfax Ave
Suite 200
Los Angeles, CA 90046-7204

Mailing address

948 N Fairfax Ave
Suite 200
Los Angeles, CA 90046-7204
Phone (323) 655-2011

Other identifiers 1

IdentifierTypeStateIssuer
HHA70283FOtherCAMEDI CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040228000577 CA Part A Provider - Home Health Agency 9739076357 Practice locations: West Hollywood, CA

Home health agency certification: CCN 058032

Legal name
PROGRESSIVE 2000 HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 3, 1998
Last certification
Mar 13, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 23, 1997 in CA
Enrollment address
948N Fairfax Ave
200
West Hollywood, CA 90046-7204

Care Compare: Home health agency

Medicare Care Compare
Listed as
Progressive 2000 HHCCCN 058032 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jun 3, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0930619Progressive 2000 Home Health Care Inc948 N Fairfax Ave Ste 200, Los Angeles, CA 90046Certificate of waiverJul 15, 2027

National Provider Directory

National Provider Directory

Locations

8425 W 3rd St
Ste 400
Los Angeles, CA 90048
Phone (213) 655-2011

948 N Fairfax Ave
Ste 200
West Hollywood, CA 90046
Phone (323) 655-2011

948 N Fairfax Ave
#200
West Hollywood, CA 90046
Phone (323) 655-2011

Ownership & related parties

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.

NameRoleSinceShare
Inna Shukhman Individual 5% Or Greater Direct Ownership Interest Jul 18, 2022 100%
Corporate DirectorCeo/Cfo/Adminstrator/Board Membe Jul 18, 2022 100%
W-2 Managing EmployeeCeo/Cfo/Administrator/Board Memb Jul 18, 2022 100%
Operational/Managerial ControlCeo/Cfo/Administrator/Board Memb Jul 18, 2022 100%

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1659323012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 N FAIRFAX AVE",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467204",
            "telephone_number": "323-655-2011",
            "fax_number": "323-655-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 N FAIRFAX AVE",
            "address_2": "SUITE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900467204",
            "telephone_number": "323-655-2011",
            "fax_number": "323-655-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE 2000 HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "SHUKHMAN",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "323-655-2011",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI CAL",
            "identifier": "HHA70283F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.