Provider Demographics
NPI:1558650812
Name:PROGRESS HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:PROGRESS HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:MUKEI
Authorized Official - Last Name:MURUKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-244-9303
Mailing Address - Street 1:12113 S PRAIRIE CREEK PKWY
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-6344
Mailing Address - Country:US
Mailing Address - Phone:913-244-9303
Mailing Address - Fax:913-390-9307
Practice Address - Street 1:12113 S PRAIRIE CREEK PKWY
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-6344
Practice Address - Country:US
Practice Address - Phone:913-244-9303
Practice Address - Fax:913-390-9307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4491213253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care