NPIMap

Organization Active NPI

Progressive Housing, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mount Vernon, IL
National Provider Identifier
1265598098
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
97S002 Issued in IL
Legal business name
PROGRESSIVE HOUSING, INC.
Practice address
903 Salem Rd
Mount Vernon, IL 62864-3426
Phone
(618) 244-1385
NPI assigned
Dec 28, 2006
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 and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 97S002 IL Primary

Addresses

Primary practice location

903 Salem Rd
Mount Vernon, IL 62864-3426

Mailing address

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

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.

Locations

903 Salem Rd
Mount Vernon, IL 62864
Phone (618) 244-1385

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": "1265598098",
    "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": "903 SALEM RD",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628643426",
            "telephone_number": "618-244-1385"
        }
    ],
    "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": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "IL",
            "license": "97S002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, 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.