NPIMap

Organization Active NPI

Progressive Home Health Care Inc.

  • Home Health Agency
  • Northbrook, IL
National Provider Identifier
1972533966
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1009851 Issued in IL
Legal business name
PROGRESSIVE HOME HEALTH CARE INC.
Practice address
601 Skokie Blvd
Suite 303
Northbrook, IL 60062-2851
Phone
(847) 753-6800
Fax
(847) 753-6801
NPI assigned
Jul 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Mrs. Polina Bukhman
Title
Administrator
Phone
(847) 753-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1009851 IL Primary

Addresses

Primary practice location

601 Skokie Blvd
Suite 303
Northbrook, IL 60062-2851

Mailing address

601 Skokie Blvd
Suite 303
Northbrook, IL 60062-2851
Phone (847) 753-6800

Other identifiers 1

IdentifierTypeStateIssuer
50388OtherILBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120402000003 IL Part A Provider - Home Health Agency 7911167739 Practice locations: Northbrook, IL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972533966. Details of each certification follow.

Home health agency certification: CCN 147697

Legal name
PROGRESSIVE HOME HEALTH CARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 2, 1998
Last certification
May 23, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 23, 1997 in IL
Enrollment address
601 Skokie Blvd
Ste 303
Northbrook, IL 60062-2819

Care Compare: Home health agency

Medicare Care Compare
Listed as
Progressive Home Health CareCCN 147697 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Dec 2, 1998
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
14D0936797Progressive Home Health Care Services601 Skokie Blvd Suite 303, Northbrook, IL 60062Certificate of waiverDec 1, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Lia Bukhman Individual 5% Or Greater Direct Ownership Interest Apr 23, 1997 100%
Corporate Officer Apr 28, 1997
Corporate Director Apr 28, 1997
Polina Bukhman Individual Operational/Managerial Control Mar 1, 1999

Practitioners & affiliated clinicians

Affiliated clinicians 12

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1972533966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SKOKIE BLVD",
            "address_2": "SUITE 303",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622851",
            "telephone_number": "847-753-6800",
            "fax_number": "847-753-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 SKOKIE BLVD",
            "address_2": "SUITE 303",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622851",
            "telephone_number": "847-753-6800",
            "fax_number": "847-753-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "BUKHMAN",
        "authorized_official_first_name": "POLINA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "847-753-6800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1009851",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50388",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

Verify at the official NPI Registry.