Provider Demographics
NPI:1134655723
Name:PROGRESSIVE HOME HEALTH AND HOSPICE CARE- HAYWARD, LLC
Entity Type:Organization
Organization Name:PROGRESSIVE HOME HEALTH AND HOSPICE CARE- HAYWARD, LLC
Other - Org Name:PROGRESSIVE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PARMINDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:SIDHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-255-9555
Mailing Address - Street 1:715 KEARNEY AVE # 521
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-9904
Mailing Address - Country:US
Mailing Address - Phone:216-255-9555
Mailing Address - Fax:
Practice Address - Street 1:22101 REDWOOD RD
Practice Address - Street 2:
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-7107
Practice Address - Country:US
Practice Address - Phone:510-600-3009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-03
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health