PROGRESSIVE HOUSING INC. NPI 1104983493

NPI Information

NPI: 1104983493
Provider Name: PROGRESSIVE HOUSING, INC.

Doing Business As: HARRIS PLACE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
209 HARRIS RD
EAST PEORIA, IL
ZIP 61611
Phone: (309) 698-9600
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PROGRESSIVE HOUSING, INC. is an intermediate care facility mentally retarded in East Peoria, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PROGRESSIVE HOUSING, INC. NPI is 1104983493. The provider is registered as an organization entity type.
The provider Is Doing Business As Harris Place.

The provider's business location address is:

209 HARRIS RD
EAST PEORIA, IL
ZIP 61611-836
Phone: (309) 698-9600

The provider's authorized official is Rob Keime .
The authorized official title is Cfo and has the following contact phone number (309) 685-0595.

The enumeration date for this NPI number is 1/3/2007 and was last updated on 8/22/2020.

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
1	315P00000X	Intermediate Care Facility, Intellectual Disabilities		0038240	ILLINOIS	Yes

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

NPI Synchronization or Removal

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