PROGRESS HOUSE INC. NPI 1104961101

NPI Information

  • NPI: 1104961101
  • Provider Name: PROGRESS HOUSE, INC.
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • Address: PROGRESS HOUSE PERINATAL FACILITY
    5494 PONY EXPRESS TRAIL
    CAMINO, CA
    ZIP 95709
  • Phone: (530) 644-3758

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NPI Details

PROGRESS HOUSE, INC. is a substance abuse rehabilitation facility in Camino, CA. The provider is 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. PROGRESS HOUSE, INC. NPI is 1104961101. The provider is registered as an organization entity type.

The provider's business location address is:

PROGRESS HOUSE PERINATAL FACILITY
5494 PONY EXPRESS TRAIL
CAMINO, CA
ZIP 95709
Phone: (530) 644-3758

The provider's authorized official is Cindy Carlson .
The authorized official title is Executive Director and has the following contact phone number (916) 317-7230.

The enumeration date for this NPI number is 2/20/2007 and was last updated on 9/23/2021.

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
1324500000XSubstance Abuse Rehabilitation Facility090002ENCALIFORNIANo
2324500000XSubstance Abuse Rehabilitation Facility090002GNCALIFORNIANo
3324500000XSubstance Abuse Rehabilitation Facility090002HNCALIFORNIANo
4324500000XSubstance Abuse Rehabilitation Facility090002INCALIFORNIANo
5324500000XSubstance Abuse Rehabilitation Facility090002FNCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1090918OTHERCALIFORNIADRUG MEDI-CAL
2090913OTHERCALIFORNIADRUG MEDI-CAL

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: 11/21/2025

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