NPIMap

Organization Active NPI

Progressive Healthcare Providers Inc

  • Developmentally Disabled Services Day Training Agency
  • Baton Rouge, LA
National Provider Identifier
1093920126
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
848 Issued in LA
Legal business name
PROGRESSIVE HEALTHCARE PROVIDERS INC
Practice address
8280 YMCA Plaza Dr BLDG 9
Baton Rouge, LA 70810-0927
Phone
(225) 767-2344
Fax
(225) 767-8068
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Leon Moore
Title
Director of Operations
Phone
(225) 767-2344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 848 LA Primary

Addresses

Primary practice location

8280 YMCA Plaza Dr BLDG 9
Baton Rouge, LA 70810-0927

Mailing address

8280 YMCA Plaza Dr BLDG 9
Baton Rouge, LA 70810-0927
Phone (225) 767-2344

Other identifiers 1

IdentifierTypeStateIssuer
1714101MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Progressive Healthcare Providers Inc12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

8280 Ymca Plaza Dr
Bldg 9
Baton Rouge, LA 70810
Phone (225) 767-2344

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093920126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8280 YMCA PLAZA DR BLDG 9",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100927",
            "telephone_number": "225-767-2344",
            "fax_number": "225-767-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8280 YMCA PLAZA DR BLDG 9",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708100927",
            "telephone_number": "225-767-2344",
            "fax_number": "225-767-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HEALTHCARE PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LEON",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "225-767-2344"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "LA",
            "license": "848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1714101",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • 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.