NPI Information

  • NPI: 1568270114
  • Provider Name: PROGRESSIVE INTELLECTUAL SERVICES
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • Address: 208 JOCKEY HOLLOW RUN
    SWEDESBORO, NJ
    ZIP 08085
  • Phone: (301) 318-8984

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NPI Details

PROGRESSIVE INTELLECTUAL SERVICES is a community based residential treatment facility, intellectual and/or developmental disabilities in Swedesboro, NJ. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. PROGRESSIVE INTELLECTUAL SERVICES NPI is 1568270114. The provider is registered as an organization entity type.

The provider's business location address is:

208 JOCKEY HOLLOW RUN
SWEDESBORO, NJ
ZIP 08085-042
Phone: (301) 318-8984

The provider's authorized official is Lamonte S Owens .
The authorized official title is Owner and has the following contact phone number (301) 318-8984.

The enumeration date for this NPI number is 12/27/2024 and was last updated on 12/27/2024.

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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesNo
2320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes
3385HR2060XRespite CareRespite Care, Intellectual and/or Developmental DisabilitiesNo

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: 3/30/2025

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