PARK PLACE
NPI 1174689996
Intermediate Care Facility, Intellectual Disabilities in Pana, IL

Active since December 28, 2006
205 N PARK AVE, PANA, IL 62557(217) 562-7023 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Park Place NPPES

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

PARK PLACE (NPI 1174689996) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Pana, Illinois and active in the NPI registry since December 2006. The organization lists Rob Keime, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174689996
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NamePROGRESSIVE HOUSING, INC.
Location Address205 N PARK AVEPana, IL 62557-1230
Mailing Address2020 W War Memorial Dr, Suite 103Peoria, IL 61614-6754 · (309) 686-0595
Organization SubpartNo
Authorized OfficialRob KeimeCfo · (309) 685-0595
Enumeration DateDecember 28, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1174689996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License Licensed in IL · 0040360
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
205 N PARK AVE, Pana, IL 62557

Other Names 1

Doing Business AsPark Place

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 Progressive Housing, Inc.'s NPI number?

The NPI number for Progressive Housing, Inc. is 1174689996. It was assigned to this organization in the NPPES registry on December 28, 2006. The provider is doing business as Park Place.

Where is Progressive Housing, Inc. located?

Progressive Housing, Inc. is located at 205 N Park Ave, Pana, IL 62557. The listed phone number is (217) 562-7023.

What is Progressive Housing, Inc.'s specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Progressive Housing, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.