PROGRESSIVE HOUSING INC NPI 1659438042

NPI Information

  • NPI: 1659438042
  • Provider Name: PROGRESSIVE HOUSING, INC
  • Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
  • Entity Type: Organization
  • Doing Business As: TAYLORVILLE TERRACE
  • CLIA Number: 14D2146245
  • Address: 921 E MARKET ST
    TAYLORVILLE, IL
    ZIP 62568
  • Phone: (217) 287-7787

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NPI Details

PROGRESSIVE HOUSING, INC is an intermediate care facility mentally retarded in Taylorville, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PROGRESSIVE HOUSING, INC NPI is 1659438042. The provider is registered as an organization entity type.
The provider Is Doing Business As Taylorville Terrace.

The provider's business location address is:

921 E MARKET ST
TAYLORVILLE, IL
ZIP 62568-902
Phone: (217) 287-7787

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 CLIA number assigned to this NPI record is 14D2146245 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

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
1315P00000XIntermediate Care Facility, Intellectual Disabilities1768516ILLINOISYes

What is NPI?

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This page was last updated on: 11/21/2025

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