Provider Demographics
NPI:1851445480
Name:PROGRESSIVE NURSING SERVICES
Entity Type:Organization
Organization Name:PROGRESSIVE NURSING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF CLINICAL OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:REGINA
Authorized Official - Last Name:BURKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:317-578-0500
Mailing Address - Street 1:8930 BASH ST
Mailing Address - Street 2:STE F
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46256-7207
Mailing Address - Country:US
Mailing Address - Phone:317-578-0500
Mailing Address - Fax:317-578-0550
Practice Address - Street 1:8930 BASH ST
Practice Address - Street 2:STE F
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46256-7207
Practice Address - Country:US
Practice Address - Phone:317-578-0500
Practice Address - Fax:317-578-0550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN060038401251E00000X
IN08-003840-4251E00000X, 251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251F00000XAgenciesHome Infusion
No251E00000XAgenciesHome Health