PROGRESSIVE HOUSING INC. NPI 1174689996

NPI Information

NPI: 1174689996
Provider Name: PROGRESSIVE HOUSING, INC.

Doing Business As: PARK PLACE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
205 N PARK AVE
PANA, IL
ZIP 62557
Phone: (217) 562-7023
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PROGRESSIVE HOUSING, INC. is an intermediate care facility mentally retarded in Pana, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PROGRESSIVE HOUSING, INC. NPI is 1174689996. The provider is registered as an organization entity type.
The provider Is Doing Business As Park Place.

The provider's business location address is:

205 N PARK AVE
PANA, IL
ZIP 62557-230
Phone: (217) 562-7023

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 12/28/2006 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		0040360	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: 4/28/2024

NPI Synchronization or Removal

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