Progressive Community Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PROGRESSIVE COMMUNITY SERVICES

Practice address

3617 Betterton LN
Charlotte, NC 28269-0148

Phone

(704) 241-4429

NPI assigned

Oct 26, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Antoine Johnson

Title

Cfo

Phone

(704) 361-1510

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199923200000",
    "number": "1013196930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 BETTERTON LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690148",
            "telephone_number": "704-241-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 BETTERTON LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282690148",
            "telephone_number": "704-241-4429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2008-01-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "704-361-1510"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Charlotte, NC
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• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.