NPIMap

Organization Active NPI

Progressive Community Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saint Joseph, MO
National Provider Identifier
1184740342
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
1447-9743 Issued in MO
Legal business name
PROGRESSIVE COMMUNITY SERVICES
Practice address
2612 Doniphan Ave
Saint Joseph, MO 64507-1457
Phone
(816) 364-3827
Fax
(816) 364-0470
NPI assigned
Mar 21, 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
Ms. Lynn Wells
Title
Executive Director
Phone
(816) 364-3827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 1447-9743 MO Primary

Addresses

Primary practice location

2612 Doniphan Ave
Saint Joseph, MO 64507-1457

Mailing address

1025 N 22ND St
Saint Joseph, MO 64506-2607
Phone (816) 364-3827

National Provider Directory

National Provider Directory
Tax ID family
Progressive Community Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184740342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 N 22ND ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645062607",
            "telephone_number": "816-364-3827",
            "fax_number": "816-364-0470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 DONIPHAN AVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645071457",
            "telephone_number": "816-364-3827",
            "fax_number": "816-364-0470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "816-364-3827",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MO",
            "license": "1447-9743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

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.