Organization Active NPI

Progressive Skilled Home Health Services LLC

  • Home Health Agency
  • Pharr, TX
National Provider Identifier
1720011836
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010488 Issued in TX
Legal business name
PROGRESSIVE SKILLED HOME HEALTH SERVICES LLC
Practice address
940 W Nolana Loop
Suite C
Pharr, TX 78577-7406
Phone
(956) 702-4466
Fax
(956) 702-4477
NPI assigned
Jul 9, 2006
Last updated
Feb 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Authorized official

Name
Ms. Brenda Belcher, RN
Title
Administrator - Director of Nursing
Phone
(956) 702-4466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010488 TX Primary

Addresses

Primary practice location

940 W Nolana Loop
Suite C
Pharr, TX 78577-7406

Mailing address

940 W Nolana Loop
Suite C
Pharr, TX 78577-7406
Phone (956) 702-4466

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060822000025 TX Part A Provider - Home Health Agency 8426051004 Practice locations: Pharr, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1720011836. Details of each certification follow.

Home health agency certification: CCN 743107

Legal name
PROGRESSIVE SKILLED HOME HEALTH SERVICES, LLC
Doing business as
PROGRESSIVE SKILLED HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 7, 2008
Last certification
Aug 22, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
940 W. Nolana
Suite C
Pharr, TX 78577-7633

Care Compare: Home health agency

Medicare Care Compare
Listed as
Progressive Skilled Home Health Services LLCCCN 743107 · All quality measures
Ownership
Proprietary
Certified
Apr 7, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
45D1056166Progressive Skilled Home Health Services940 W Nolana Loop Suite C, Pharr, TX 78577Certificate of waiverJul 6, 2028

National Provider Directory

National Provider Directory

Locations

940 W Nolana Loop
Ste C
Pharr, TX 78577
Phone (956) 702-4466

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Brenda Belcher Individual 5% Or Greater Direct Ownership Interest Jul 10, 2013 50%
General Partnership Interest May 31, 2006
W-2 Managing EmployeeAdministrator/Don Jul 10, 2013 50%
Annabel Brown Individual W-2 Managing EmployeeAlternate Director of Nursing Apr 5, 2013
Robert Naranjo Individual 5% Or Greater Direct Ownership Interest Jul 10, 2013 50%
Corporate OfficerCfo Mar 3, 2006
W-2 Managing EmployeeChief Financial Ofc/Alt Admin Jul 10, 2013 50%

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1720011836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W NOLANA LOOP",
            "address_2": "SUITE C",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785777406",
            "telephone_number": "956-702-4466",
            "fax_number": "956-702-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W NOLANA LOOP",
            "address_2": "SUITE C",
            "city": "PHARR",
            "state": "TX",
            "postal_code": "785777406",
            "telephone_number": "956-702-4466",
            "fax_number": "956-702-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE SKILLED HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "BELCHER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ADMINISTRATOR - DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "956-702-4466",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pharr, TX

Sources for this page

Verify at the official NPI Registry.