Provider Demographics
NPI:1528222957
Name:PROGRESSIVE HEALTHCARE INC.
Entity Type:Organization
Organization Name:PROGRESSIVE HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KEN
Authorized Official - Middle Name:T
Authorized Official - Last Name:MCLAUGHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-548-0588
Mailing Address - Street 1:10 G ST NE STE 460
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-4298
Mailing Address - Country:US
Mailing Address - Phone:202-548-0588
Mailing Address - Fax:202-548-0589
Practice Address - Street 1:10 G ST NE STE 460
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-4298
Practice Address - Country:US
Practice Address - Phone:202-548-0588
Practice Address - Fax:202-548-0589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-15
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251B00000X
DCN/A332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC040177900Medicaid
DC040177900Medicaid