GRAND AVENUE
NPI 1487388799
Community Based Residential Treatment Facility, Mental Illness in San Rafael, CA

Q: What is Progress Foundation's NPI number?

The NPI number for Progress Foundation is 1487388799. It was assigned to this organization in the NPPES registry on July 12, 2022. The provider is also known as Grand Avenue.

Q: What is Progress Foundation's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Active since July 12, 2022

920 GRAND AVE, SAN RAFAEL, CA 94901(707) 255-9028(707) 255-3715 Get Directions Write a Review

NPPES record last updated: November 13, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 13, 2022, Jul 12, 2022 (2 updates tracked since 2022).

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About Grand Avenue NPPES

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

GRAND AVENUE (NPI 1487388799) is a healthcare organization registered as a community based residential treatment facility, mental illness in San Rafael, California and active in the NPI registry since July 2022. The organization lists Bernadette Santiago Navarro-simeon, Director Of Clinical Administration, as its authorized official.

NPPES Registry Identity

NPI1487388799

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NamePROGRESS FOUNDATION

Location Address920 GRAND AVESan Rafael, CA 94901-3506

Mailing Address368 Fell StSan Francisco, CA 94102-5144 · (415) 861-0828 · Fax (415) 861-0140

Phone(707) 255-9028

Fax(707) 255-3715

Organization SubpartNo

Authorized OfficialBernadette Santiago Navarro-simeonDirector Of Clinical Administration · (415) 861-0828

Enumeration DateJuly 12, 2022

Last NPPES UpdateNovember 13, 20222 updates tracked since enumeration

NPPES CertifiedNovember 13, 2022

✔ NPI 1487388799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

920 GRAND AVE, San Rafael, CA 94901

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Other Names 1

Other NameGrand Avenue

Other Providers at the Same Location NPPES 20

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

CAROLYN M. SHORE M.D.

Internal Medicine

920 GRAND AVE, MARIN COUNTY HEALTH CLINICS
SAN RAFAEL, CA 94901

Marin County (415) 499-6841

MISS AISHA AMBER ERVIN RN

Registered Nurse (Community Health)