The Progressive Health Care Group, Inc.

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

031268 Issued in MO

Legal business name

THE PROGRESSIVE HEALTH CARE GROUP, INC.

Doing business as

Shady Lawn RCF

Practice address

13277 State Route D
Savannah, MO 64485-9431

Phone

(816) 324-5991

Fax

(816) 324-3556

NPI assigned

Sep 26, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Thomas Hudspeth

Title

Coo/Cfo

Phone

(573) 392-0316

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shady Lawn RCF Doing business as

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063408011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "SAVANNAH",
            "state": "MO",
            "postal_code": "644850277",
            "telephone_number": "816-324-5991",
            "fax_number": "816-324-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13277 STATE ROUTE D",
            "city": "SAVANNAH",
            "state": "MO",
            "postal_code": "644859431",
            "telephone_number": "816-324-5991",
            "fax_number": "816-324-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PROGRESSIVE HEALTH CARE GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUDSPETH",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "COO/CFO",
        "authorized_official_telephone_number": "573-392-0316",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MO",
            "license": "031268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "16237161",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shady Lawn RCF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shady Lawn Living Center, Inc (Shady Lawn Living Center)
• Show-Me Diagnostic Lab, LLC
• Helen Machelle Skinner, DNP, AGPCNP-BC
• Tiffany L Sterner
• Sunshine Factory
• The Progressive Health Care Group, Inc. (Shady Lawn Nursing Home)
• TMH Associates LLC (Savannah Family Pharmacy)
• TMH Associates LLC (Savannah Family Pharmacy)
• Toshanda Farms LLC
• Mark Walter Wick, DDS

• Physical Disabilities Residential Treatment Facility in Savannah, MO
• Providers in Savannah, MO by specialty
• Physical Disabilities Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.