Organization Active NPI

Progressive Lifestyle Inc

  • Community/Behavioral Health Agency
  • Wixom, MI
National Provider Identifier
1164973228
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROGRESSIVE LIFESTYLE INC
Practice address
2669 Potter Rd
Wixom, MI 48393-1832
Phone
(248) 669-4516
NPI assigned
Oct 24, 2016
Last updated
Oct 24, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Annie Turpin
Title
Coo
Phone
(248) 666-4136

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2669 Potter Rd
Wixom, MI 48393-1832

Mailing address

6600 Highland Rd
Ste 11a
Waterford, MI 48327-1673
Phone (248) 666-4136

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

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1164973228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 HIGHLAND RD",
            "address_2": "STE 11A",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271673",
            "telephone_number": "248-666-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2669 POTTER RD",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483931832",
            "telephone_number": "248-669-4516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE LIFESTYLE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "TURPIN",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "248-666-4136"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wixom, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.