NPIMap

Organization Active NPI

Progressive Lifestyles, Inc.

  • Home Health Agency
  • Waterford, MI
National Provider Identifier
1043422660
Registry record updated Apr 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PROGRESSIVE LIFESTYLES, INC.
Practice address
1370 N Oakland Blvd Ste 150
Waterford, MI 48327-4526
Phone
(248) 607-6507
Fax
(248) 607-6507
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2023

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

Authorized official

Name
Mrs. Jennifer J Williams
Title
Vice President of Finance
Phone
(248) 607-6507

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary
PACE Provider Organization 251T00000X

Addresses

Primary practice location

1370 N Oakland Blvd Ste 150
Waterford, MI 48327-4526

Mailing address

1370 N Oakland Blvd Ste 150
Waterford, MI 48327-4526
Phone (248) 607-6507

National Provider Directory

National Provider Directory
Tax ID family
Progressive Lifestyle Inc28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

1370 N Oakland Blvd
Ste 150
Waterford, MI 48327
Phone (248) 607-6507

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680825600000",
    "number": "1043422660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 N OAKLAND BLVD STE 150",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483274526",
            "telephone_number": "248-607-6507",
            "fax_number": "248-336-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 N OAKLAND BLVD STE 150",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483274526",
            "telephone_number": "248-607-6507",
            "fax_number": "248-607-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE LIFESTYLES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2023-04-07",
        "certification_date": "2023-04-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "248-607-6507",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2023; 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.