Progressive Home Health Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1689987455 Issued in GA

Legal business name

PROGRESSIVE HOME HEALTH CARE LLC

Practice address

1028 River Forest PT
Lawrenceville, GA 30045-2600

Phone

(313) 850-4400

Fax

(770) 236-8833

NPI assigned

Apr 22, 2014

Organization subpart

Yes

Parent organization

BD&K ADULT FOSTER CAREAs reported in NPPES

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

Authorized official

Name

Ms. Marla McKenzieNPI 1174924492

Title

Owner

Phone

(313) 850-4400

Specialties & licenses 2

Addresses

Other names 1

• BD&K Adult Foster Care Other name

Practitioners 1

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

• Marla McKenzie

  • Licensed Practical Nurse
  • Lawrenceville, GA
  • NPI 1174924492
  NPD (past) Authorized official

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1972923563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 RIVER FOREST PT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452600",
            "telephone_number": "678-338-1461",
            "fax_number": "770-236-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 RIVER FOREST PT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452600",
            "telephone_number": "313-850-4400",
            "fax_number": "770-236-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HOME HEALTH CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BD&K ADULT FOSTER CARE",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "MCKENZIE",
        "authorized_official_first_name": "MARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-850-4400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "1689987455",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "374U00000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BD&K Adult Foster Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marilyn Proctor, MS ED
• Melanie Kim Proctor, LMSW
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• Kimberly Christie Prohaska, M.ED. CCC-SLP
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• Proliance LLC

• Home Health Agency in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; 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.