PROGRESSIVE HOUSING, INC.
NPI 1265598098
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Mount Vernon, IL
- Organization
- Community Based Residential Treatment Fa...
About PROGRESSIVE HOUSING, INC.
This page provides the complete NPI Profile along with additional information for Progressive Housing, Inc., a provider established in Mount Vernon, Illinois operating as a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1265598098 assigned on December 2006. The practitioner's primary taxonomy code is 320900000X with license number 97S002 (IL). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Rob Keime (Cfo)
- NPI
- 1265598098 Verify this NPI
- Provider Name
- PROGRESSIVE HOUSING, INC.
- Entity Type
- Organization
- Location Address
- 903 SALEM RD MOUNT VERNON, IL 62864
- Location Phone
- (618) 244-1385
- Mailing Address
- 2020 W WAR MEMORIAL DR SUITE 103 PEORIA, IL 61614
- Mailing Phone
- (309) 685-0595
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-28-2006
- Last Update Date
- 08-22-2020
- Code Navigator
Location Map
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
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Taxonomy Code
- 320900000X
- Type
- Residential Treatment Facilities
- License No.
- 97S002
- License State
- IL
- Taxonomy Description
- A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265598098, enumerated as an "organization" on December 28, 2006.
The provider is located at 903 SALEM RD MOUNT VERNON, IL 62864 and the phone number is (618) 244-1385.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
