Provider Type Icon

PROGRESSIVE COMMUNITY RESOURCES NPI 1821618596


NPI Information

NPI: 1821618596
Provider Name: PROGRESSIVE COMMUNITY RESOURCES
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
107 W PLOVER WAY
LAVALLETTE, NJ
ZIP 08735
Phone: (610) 873-4813
Get Directions

PROGRESSIVE COMMUNITY RESOURCES is a community based residential treatment facility, intellectual and/or developmental disabilities in Lavallette, 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 COMMUNITY RESOURCES NPI is 1821618596. The provider is registered as an organization entity type.

The provider's business location address is:

107 W PLOVER WAY
LAVALLETTE, NJ
ZIP 08735-237
Phone: (610) 873-4813
Fax: (610) 873-4813

The provider's authorized official is George Paul Linke .
The authorized official title is Incorporator and has the following contact phone number (610) 873-4813.

The enumeration date for this NPI number is 4/22/2020 and was last updated on 4/22/2020.


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
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.