Provider Demographics
NPI:1508068420
Name:PROGRESSIVE THERAPEUTIC HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:PROGRESSIVE THERAPEUTIC HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AVTAR
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:734-678-5275
Mailing Address - Street 1:721 N MACOMB ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-2982
Mailing Address - Country:US
Mailing Address - Phone:734-678-5275
Mailing Address - Fax:866-360-5812
Practice Address - Street 1:721 N MACOMB ST
Practice Address - Street 2:SUITE 4
Practice Address - City:MONROE
Practice Address - State:MI
Practice Address - Zip Code:48162-2982
Practice Address - Country:US
Practice Address - Phone:734-678-5275
Practice Address - Fax:866-360-5812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-03
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health