MEDICARE: PROGRESS HOME HEALTH CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1457705360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROGRESS HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	126 S JACKSON ST STE 200
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-4920
Country	:	US
Telephone Number	:	818-697-0707
Fax Number	:	818-627-7891

Provider Business Practice Location Address
First Line	:	126 S JACKSON ST STE 200
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-4920
Country	:	US
Telephone Number	:	818-697-0707
Fax Number	:	818-627-7891

Authorized Official
Title or Position	:	CEO
Name	:	MR. ARTAK ZARGARYAN
Credential	:
Telephone Number	:	818-697-0707

Provider Enumeration Date	:	04/17/2016
Last Update Date	:	04/17/2016

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