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PROGRESS PORT INC. NPI 1962853226


NPI Information

NPI: 1962853226
Provider Name: PROGRESS PORT, INC.
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
1120 N DIVISION ST
CARTERVILLE, IL
ZIP 62918
Phone: (618) 985-8351
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PROGRESS PORT, INC. is a day training developmentally disabled services in Carterville, IL. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. PROGRESS PORT, INC. NPI is 1962853226. The provider is registered as an organization entity type.

The provider's business location address is:

1120 N DIVISION ST
CARTERVILLE, IL
ZIP 62918-269
Phone: (618) 985-8351
Fax: (618) 985-8817

The provider's authorized official is Lori Jones .
The authorized official title is General Manager and has the following contact phone number (618) 985-8351.

The enumeration date for this NPI number is 6/28/2016 and was last updated on 6/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled ServicesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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