NPIMap

Organization Active NPI

Progressive Housing, Inc.

Doing business as Terra Estates

  • Intellectual Disabilities Intermediate Care Facility
  • Hoyleton, IL
National Provider Identifier
1154487742
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
0040352 Issued in IL
Legal business name
PROGRESSIVE HOUSING, INC.
Doing business as
Terra Estates
Practice address
620 N. Main Street
Hoyleton, IL 62803
Phone
(618) 493-6373
NPI assigned
Dec 28, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Rob Keime
Title
Cfo
Phone
(309) 685-0595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 0040352 IL Primary

Addresses

Primary practice location

620 N. Main Street
Hoyleton, IL 62803

Mailing address

2020 W War Memorial Dr
Suite 103
Peoria, IL 61614-6754
Phone (309) 685-0595

Other names 1

  • Terra Estates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Progressive Housing Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154487742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W WAR MEMORIAL DR",
            "address_2": "SUITE 103",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616146754",
            "telephone_number": "309-685-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 N. MAIN STREET",
            "city": "HOYLETON",
            "state": "IL",
            "postal_code": "62803",
            "telephone_number": "618-493-6373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HOUSING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEIME",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "309-685-0595"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "0040352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terra Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoyleton, IL

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.