Provider Demographics
NPI:1699112417
Name:TAK-PROGRESSIVE HEALTH SERVICES INC
Entity type:Organization
Organization Name:TAK-PROGRESSIVE HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHI
Authorized Official - Middle Name:C
Authorized Official - Last Name:AKOSU
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:301-806-0891
Mailing Address - Street 1:100 EVERETT AVE UNIT 3A
Mailing Address - Street 2:
Mailing Address - City:CHELSEA
Mailing Address - State:MA
Mailing Address - Zip Code:02150-2309
Mailing Address - Country:US
Mailing Address - Phone:617-884-5400
Mailing Address - Fax:
Practice Address - Street 1:100 EVERETT AVE UNIT 3A
Practice Address - Street 2:
Practice Address - City:CHELSEA
Practice Address - State:MA
Practice Address - Zip Code:02150-2309
Practice Address - Country:US
Practice Address - Phone:617-884-5400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health