Provider Demographics
NPI:1548996036
Name:PROGRESSIVE HEARTS HOME CARE INC
Entity type:Organization
Organization Name:PROGRESSIVE HEARTS HOME CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SANDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:GREWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-326-3901
Mailing Address - Street 1:1728 ROLLING BROOK DR
Mailing Address - Street 2:
Mailing Address - City:LITTLE ELM
Mailing Address - State:TX
Mailing Address - Zip Code:75068-6465
Mailing Address - Country:US
Mailing Address - Phone:214-326-3901
Mailing Address - Fax:214-975-9610
Practice Address - Street 1:1728 ROLLING BROOK DR
Practice Address - Street 2:
Practice Address - City:LITTLE ELM
Practice Address - State:TX
Practice Address - Zip Code:75068-6465
Practice Address - Country:US
Practice Address - Phone:214-326-3901
Practice Address - Fax:214-975-9610
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty