PROGRESSIVE HABILITATIVE SERVICES, INC (NPI# 1164735817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164735817 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE HABILITATIVE SERVICES, INC |
| Practice Address |
6405 Chillum Pl Nw Washington DC 20012-2133 |
| Mailing Address |
13629 Baltimore Ave Laurel MD 20707-5095 |
| Practice Telephone | 2025450393 |
| Practice Fax Number | 2025450392 |
| Mailing Telephone | 3013179996 |
| Mailing Fax Number | 3013179988 |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2015-09-23 |
| Authorized Official Name | RAMESH GUNDU (ACCOUNTS MANAGER) |
| Authorized Official Telephone | 3013179996 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | 037910700 | 05 |
| Street Address |
6405 CHILLUM PL NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20012-2133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167712 | Margaret Morrison | Registered Nurse | 6405 Chillum Pl Nw, Washington, DC 20012-2133 | 2019-11-06 |
| 1861036543 | Deborah Harris | Registered Nurse | 6405 Chillum Pl Nw, Washington, DC 20012-2133 | 2019-11-05 |
| 1245874924 | Kathleen Grace Carlyle | Registered Nurse | 6405 Chillum Pl Nw, Washington, DC 20012-2133 | 2019-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063985265 | Nicolette Soden | Speech-Language Pathologist | 5629 3rd Street Northwest, Washington, DC 20012 | 2019-01-10 |
| 1437637824 | Victoria Estefany Vasquez | Technician | 6600 Georgia Ave Nw Apt 1b, Washington, DC 20012 | 2018-07-30 |
| 1336646181 | King Health Systems LLC | Homemaker | 7826 Eastern Ave Nw Ste Ll18, Washington, DC 20012 | 2018-04-09 |
| 1336644483 | Swaville Health Care Group, LLC | Home Health | 7836 Eastern Ave Nw Suite 411, Washington, DC 20012 | 2018-03-29 |
| 1235641697 | New Living Healthcare Services LLC | Home Health | 7600 Georgia Ave Nw Ste 403, Washington, DC 20012 | 2017-10-25 |
| 1255857405 | Kinara Health and Home Care Services LLC | Clinic/Center | 7603 Georgia Ave Nw Ste 301, Washington, DC 20012 | 2017-08-18 |
| 1639608029 | Atanga Cornelius Forbang | Home Health Aide | 7506 Georgia Avenue, Nw, Washington, DC 20012 | 2017-06-08 |
| 1437690484 | Sahsandra Asong Abangawoh I | Social Worker | 7600 Georgia Ave, #323, Washington, DC 20012 | 2017-03-10 |
| 1184167249 | Nnamdi Nweke | Home Health Aide | 7268 Eastern Avenue, 400, Washington, DC 20012 | 2016-11-22 |
| 1083161657 | Fongwi Gladys Epse Tah N Jong | Home Health Aide | 6856 Eastern Nw, #376, Washington, DC 20012 | 2016-09-01 |
| Find all providers in zip 20012 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639560980 | Innovative Life Solutions. Inc. | Intermediate Care Facility, Mentally Retarded | 5306 Eastern Ave Ne, Washington, DC 20011-2717 | 2015-02-09 |
| 1992058093 | Innovative Life Solutions, Inc. | Intermediate Care Facility, Mentally Retarded | 2553 36th St Se, Washington, DC 20020-1215 | 2012-10-26 |
| 1356694848 | Innovative Life Solutions, Inc. | Intermediate Care Facility, Mentally Retarded | 3112 Walnut St Ne, Washington, DC 20018-4016 | 2012-10-21 |
| 1518228063 | Innovative Life Solutions, Inc. | Intermediate Care Facility, Mentally Retarded | 5000 E Capitol St Ne, Washington, DC 20019-5326 | 2012-05-31 |
| 1770843526 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 431 53rd St Se, Washington, DC 20019-6171 | 2012-05-25 |
| 1184984064 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 6520 1st St Nw, Washington, DC 20012-2124 | 2012-05-24 |
| 1336409218 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 3020 Stanton Rd Se, Washington, DC 20020-7866 | 2012-05-24 |
| 1801156781 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 1230 Congress St Se, Washington, DC 20032-4543 | 2012-05-24 |
| 1598025694 | Volunteers of America Chesapeake, Inc. | Intermediate Care Facility, Mentally Retarded | 4515 Edson Pl Ne, Washington, DC 20019-4768 | 2012-05-22 |
| 1710116751 | Dc Health Care, Inc | Intermediate Care Facility, Mentally Retarded | 6703 Sandy Spring Rd Nw, Washington, DC 20012-2015 | 2009-07-13 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20012 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.