Provider Demographics
NPI:1720212574
Name:PROGRESS AT HOME, LLC
Entity Type:Organization
Organization Name:PROGRESS AT HOME, LLC
Other - Org Name:CORSOCARE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:APPLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-438-1507
Mailing Address - Street 1:950 CORPORATE OFFICE DR.
Mailing Address - Street 2:STE. 300
Mailing Address - City:MILFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48381-5004
Mailing Address - Country:US
Mailing Address - Phone:248-438-1503
Mailing Address - Fax:248-438-1504
Practice Address - Street 1:950 CORPORATE OFFICE DR.
Practice Address - Street 2:STE. 300
Practice Address - City:MILFORD
Practice Address - State:MI
Practice Address - Zip Code:48381-5004
Practice Address - Country:US
Practice Address - Phone:248-438-1503
Practice Address - Fax:248-438-1504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI239129Medicare PIN
MI239129Medicare Oscar/Certification