Provider Demographics
NPI:1942688528
Name:PROGRESSIVE HOME HEALTH AND HOSPICE CARE, LLC
Entity Type:Organization
Organization Name:PROGRESSIVE HOME HEALTH AND HOSPICE CARE, LLC
Other - Org Name:PROGRESSIVE HOME HEALTH AND HOSPICE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO/VP FINANCE AND OPERATIONS
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-248-7851
Mailing Address - Street 1:1320 STANDIFORD AVE STE 4-207
Mailing Address - Street 2:
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-0726
Mailing Address - Country:US
Mailing Address - Phone:209-505-1035
Mailing Address - Fax:209-846-0345
Practice Address - Street 1:1619 H STREET
Practice Address - Street 2:
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95354
Practice Address - Country:US
Practice Address - Phone:209-505-1035
Practice Address - Fax:209-846-0345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-14
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based