1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Substance Abuse Rehabilitation Facility
  6. NPI Profile

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

Active since November 17, 2020
4960 LACLEDE AVE, SAINT LOUIS, MO 63108(314) 361-6240 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Progression Healthcare Mo, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROGRESSION HEALTHCARE MO, LLC (NPI 1033712690) is a healthcare organization registered as a substance abuse rehabilitation facility in Saint Louis, Missouri and active in the NPI registry since November 2020. The organization lists Jesseca Wallace, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033712690
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NamePROGRESSION HEALTHCARE MO, LLC
Location Address4960 LACLEDE AVESaint Louis, MO 63108-1404
Mailing Address4960 Laclede AveSaint Louis, MO 63108-1404
Phone(314) 361-6240
Organization SubpartNo
Authorized OfficialJesseca WallaceCeo · (440) 384-8934
Enumeration DateNovember 17, 2020
NPPES CertifiedNovember 17, 2020
✔ NPI 1033712690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
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.
4960 LACLEDE AVE, Saint Louis, MO 63108
Open in Google Maps ↗

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PROGRESSION HEALTHCARE MO, LLC
Community/Behavioral Health
4960 LACLEDE AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 361-6240
ROYAL OAK NURSING AND REHAB LLC
Skilled Nursing Facility
4960 LACLEDE AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 361-6240
MERITORIOUS CARE INC
Skilled Nursing Facility
4960 LACLEDE AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 361-6240
RICKLENE ENTERPRISES CORP
Durable Medical Equipment & Medical Supplies (Parenteral & Enteral Nutrition)
4960 LACLEDE AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 361-6240
SIRO OP ROYAL OAK LLC
Skilled Nursing Facility
4960 LACLEDE AVE
SAINT LOUIS, MO 63108
St. Louis City (314) 361-6240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Progression Healthcare Mo, LLC's NPI number?

The NPI number for Progression Healthcare Mo, LLC is 1033712690. It was assigned to this organization in the NPPES registry on November 17, 2020.

Where is Progression Healthcare Mo, LLC located?

Progression Healthcare Mo, LLC is located at 4960 Laclede Ave, Saint Louis, MO 63108. The listed phone number is (314) 361-6240.

What is Progression Healthcare Mo, LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Progression Healthcare Mo, LLC was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.