Organization
PROGRESSIVE HOMECARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELLIE NJUE (CEO)
(480) 980-9729
Entity
Organization
Contact information
Practice address
1801 S EXTENSION RD STE 111, MESA, AZ 85210-5969
(480) 980-9729
Mailing address
1801 S EXTENSION RD STE 111, MESA, AZ 85210-5969
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
315P00000X
Intellectual Disabilities Intermediate Care Facility
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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