Provider Demographics
NPI:1548444615
Name:PROGRESSIVE HOMECARE SYSTEMS INC
Entity type:Organization
Organization Name:PROGRESSIVE HOMECARE SYSTEMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEW
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:734-777-3132
Mailing Address - Street 1:32290 FIVE MILE RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48154-6109
Mailing Address - Country:US
Mailing Address - Phone:734-777-3132
Mailing Address - Fax:
Practice Address - Street 1:32290 FIVE MILE RD
Practice Address - Street 2:SUITE B
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48154-6109
Practice Address - Country:US
Practice Address - Phone:734-777-3132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health