Progressive Care Center

LBN: Virginia Hall Nursing Home
Progressive Care Center is an health care organization with primary practice located at 2715 Albert L Bicknell Dr , Shreveport LA 71103-3925. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies, Suppliers / Parenteral & Enteral Nutrition. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Virginia Hall Nursing Home can be contacted via phone (318) 212-8200, or through Boyter, Richard Eugene via phone (318) 212-6461.

Contact Information

Primary practice address
2715 Albert L Bicknell Dr Shreveport LA 71103-3925
Phone: (318) 212-8200
Fax: (318) 212-8220
Website:
Map and Directions
Authorized official contact:
Name: Boyter, Richard Eugene N.F.A.
Phone: (318) 212-6461

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 284 Louisiana
Suppliers / Nursing Facility Supplies 332BN1400X Louisiana
Suppliers / Parenteral & Enteral Nutrition 332BP3500X Louisiana

Profile Details

NPI number 1730124488
LBN Legal business name Virginia Hall Nursing Home
DBA Doing business as Progressive Care Center
Authorized official Boyter, Richard Eugene N.F.A.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Dec 1st, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730124488 NPPES
Louisiana MEDICAID 1516597

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