Progressive Long Term Care

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

Legal business name

PROGRESSIVE LONG TERM CARE

Practice address

704 Commerce St
Hawkinsville, GA 31036-1004

Phone

(478) 783-4988

NPI assigned

Jun 27, 2007

Last updated

Apr 10, 2009By 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

Ronald G Crump

Title

President

Phone

(478) 783-1623

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Pinewood Manor Nursing Home Other name

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1942406749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 1218",
            "address_2": "PROGRESSIVE HEALTH CARE PINEWOOD MANOR NH",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "31036",
            "telephone_number": "478-783-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 COMMERCE ST",
            "city": "HAWKINSVILLE",
            "state": "GA",
            "postal_code": "310361004",
            "telephone_number": "478-783-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE LONG TERM CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-783-1623"
    },
    "taxonomies": [
        {
            "code": "332BN1400X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000142513B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinewood Manor Nursing Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pharmacy Services, Inc. (Georgia Home Care Pharmacy)
• Shaniqua Pierce
• Pinewood Healthcare Center, LLC (Pinewood Healthcare Center)
• Pinewood Retirement Villa, Inc.
• Amanda Pradarits, PHARMD
• Progressive Long Term Care, LLC (Pinewood Manor)
• Project Hope for Families Inc
• Regina Hafford Puissant
• Pulaski County Board of Education
• Pulaski County Health Department (Pulaski County Board of Health)

• Parenteral & Enteral Nutrition Supplies (DME) in Hawkinsville, GA
• Providers in Hawkinsville, GA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.