# PROGRESSIVE HEALTHCARE SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790956688
- **Authorized official:** MS. GWEN FROST (ADMINISTRATOR)
- **Authorized official phone:** (757) 244-0511

## Contact information

- **Practice address:** 6022 JEFFERSON AVE, STE 204C, NEWPORT NEWS, VA 23605-3000
- **Practice address phone:** (757) 244-0511
- **Practice address fax:** (757) 320-2900
- **Mailing address:** 6022 JEFFERSON AVE, STE 204C, NEWPORT NEWS, VA 23605-3000
- **Mailing address phone:** (757) 244-0511
- **Mailing address fax:** (757) 320-2900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 0001192912 | VA | Yes |

## Other

- **Enumeration date:** 03/18/2008
- **Last updated:** 03/18/2008
