Active NPI
House of Progress
- Assisted Living Facility (Mental Illness)
- Wilson, NC
National Provider Identifier
1154462372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- License
- MH098095
- Legal business name
- HOUSE OF PROGRESS
- Practice address
- 1725 Hillcrest Dr W
Wilson, NC 27893-2727 - Phone
- (252) 291-4915
- Fax
- (252) 529-1696
- NPI assigned
- Feb 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Anthony Phyllip Cox
- Title
- Owner
- Phone
- (252) 291-4915
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Mental Illness) | 3104A0625X | MH098095 | NC | Primary |
Addresses
Primary practice location
1725 Hillcrest Dr W
Wilson, NC 27893-2727
Mailing address
PO Box 1991
Wilson, NC 27894-1991
Phone (252) 291-4915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7804900 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154462372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1991",
"city": "WILSON",
"state": "NC",
"postal_code": "278941991",
"telephone_number": "252-291-4915",
"fax_number": "252-291-6962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1725 HILLCREST DR W",
"city": "WILSON",
"state": "NC",
"postal_code": "278932727",
"telephone_number": "252-291-4915",
"fax_number": "252-529-1696"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOUSE OF PROGRESS",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "PHYLLIP",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "252-291-4915",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3104A0625X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Mental Illness",
"state": "NC",
"license": "MH098095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7804900",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
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.