Provider Demographics
NPI:1831609320
Name:PROGRESSIVE HOME HEALTH INC
Entity type:Organization
Organization Name:PROGRESSIVE HOME HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT/PTA
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:BLASINGAME
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:405-455-2275
Mailing Address - Street 1:9070 HARMONY DR STE C
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73130-6257
Mailing Address - Country:US
Mailing Address - Phone:405-455-2275
Mailing Address - Fax:405-455-2255
Practice Address - Street 1:9070 HARMONY DR STE C
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73130
Practice Address - Country:US
Practice Address - Phone:405-455-2275
Practice Address - Fax:405-455-2255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-10
Last Update Date:2018-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health