Provider Demographics
NPI:1427589787
Name:PROGRESSIVE HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:PROGRESSIVE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANZOR
Authorized Official - Middle Name:UMAROVICH
Authorized Official - Last Name:OZDOEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:725-266-4646
Mailing Address - Street 1:5550 W FLAMINGO RD STE D3
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89103-0138
Mailing Address - Country:US
Mailing Address - Phone:702-339-3783
Mailing Address - Fax:
Practice Address - Street 1:5550 W FLAMINGO RD STE D3
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89103-0138
Practice Address - Country:US
Practice Address - Phone:725-266-4646
Practice Address - Fax:725-266-4266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-27
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7629HHA-0251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health