Organization Active NPI

Progressive Homecare Service LLC

  • Mental Health Counselor
  • Oshkosh, WI
National Provider Identifier
1750257382
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PROGRESSIVE HOMECARE SERVICE LLC
Practice address
1303 Punhoqua St
Oshkosh, WI 54902-2642
Phone
(646) 744-4838
Fax
(646) 744-4838
NPI assigned
Oct 13, 2025
Last updated
Oct 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Buba Bojang
Title
General Manager
Phone
(646) 744-4838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1303 Punhoqua St
Oshkosh, WI 54902-2642

Mailing address

1303 Punhoqua St
Oshkosh, WI 54902-2642
Phone (646) 744-4838

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1750257382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 PUNHOQUA ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549022642",
            "telephone_number": "646-744-4838",
            "fax_number": "646-744-4838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 PUNHOQUA ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549022642",
            "telephone_number": "646-744-4838",
            "fax_number": "646-744-4838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HOMECARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-12",
        "status": "A",
        "authorized_official_last_name": "BOJANG",
        "authorized_official_first_name": "BUBA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "646-744-4838"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.