Provider Demographics
NPI:1700133378
Name:PROGENESIS HEALTHCARE INC.
Entity Type:Organization
Organization Name:PROGENESIS HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AUSTIN
Authorized Official - Middle Name:E
Authorized Official - Last Name:APARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-872-1280
Mailing Address - Street 1:13245 GRAYHAWK BLVD
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-1697
Mailing Address - Country:US
Mailing Address - Phone:214-872-1280
Mailing Address - Fax:214-872-1280
Practice Address - Street 1:13245 GRAYHAWK BLVD
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-1697
Practice Address - Country:US
Practice Address - Phone:214-872-1280
Practice Address - Fax:214-872-1280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health