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Progressive Home Health, LLC

Clinic/Center in Crystal, MN. Organization (NPI-2).

NPI number1932070752
StatusActive
Last updated in NPPESSep 15, 2025

Details

NPI
1932070752
Entity type
Organization (NPI-2)
Legal business name
Progressive Home Health, LLC
Organization subpart
No
Enumeration date
Sep 15, 2025
Certification date
Sep 15, 2025
Last updated
Sep 15, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

5734 Oregon Ct
Crystal, MN 55428-4573

Phone 612-919-8808

Mailing address

5734 Oregon Ct
Crystal, MN 55428-4573

Authorized official

Mohamed Ahmed Ali
Owner
6129198808

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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