OrganizationActive
Progressive Habilitative Services, Inc
NPI 1164735817 · Intellectual Disabilities Intermediate Care Facility · Washington, DC
Provider details
- NPI number
- 1164735817
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ramesh Gundu, Accounts Manager(301) 317-9996
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
6405 Chillum Pl Nw
Washington, DC 20012-2133
Phone: (202) 545-0393
Fax: (202) 545-0392
Approximate (ZIP-level) locationGet directions
Mailing address
13629 Baltimore Ave
Laurel, MD 20707-5095
Registry dates
- Enumerated
- 2010-07-23
- Last updated
- 2015-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.