PROGRESSION HEALTHCARE MO, LLC
NPI 1033712690
Substance Abuse Rehabilitation Facility in Saint Louis, MO

NPI Status: Active since November 17, 2020

Contact Information

4960 LACLEDE AVE
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 361-6240

NPI Profile Information
Primary Taxonomy
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Substance Abuse Rehabilitation Facility

About PROGRESSION HEALTHCARE MO, LLC

This page provides the complete NPI Profile along with additional information for Progression Healthcare Mo, Llc, a provider established in Saint Louis, Missouri operating as a Substance Abuse Rehabilitation Facility. The healthcare provider is registered in the NPI registry with number 1033712690 assigned on November 2020. The practitioner's primary taxonomy code is 324500000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Jesseca Wallace (Ceo)

NPI: 1033712690
Provider Name: PROGRESSION HEALTHCARE MO, LLC
Entity Type: Organization
Location Address: 4960 LACLEDE AVE SAINT LOUIS, MO 63108
Location Phone: (314) 361-6240
Mailing Address: 4960 LACLEDE AVE SAINT LOUIS, MO 63108
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-17-2020
Last Update Date: 11-17-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Substance Abuse Rehabilitation Facility
Taxonomy Code: 324500000X
Type: Residential Treatment Facilities
Taxonomy Description: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: JESSECA WALLACE
Authorized Official Title: CEO
Authorized Official Phone: (440) 384-8934

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	0	3	3	7	1	2	6	9	0
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	0	6	3	14	1	4	6	18
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 1 + 4 + 1 + 4 + 6 + 1 + 8 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
									0

The NPI number 1033712690 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.