NPIMap

Organization Active NPI

Progress House Inc Detox Center

  • Substance Abuse Rehabilitation Facility
  • Placerville, CA
National Provider Identifier
1336506302
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
PROGRESS HOUSE INC DETOX CENTER
Practice address
2986 Coloma St
Placerville, CA 95667-4441
Phone
(530) 626-9240
Fax
(530) 626-8992
NPI assigned
Jan 21, 2016
Organization subpart
Yes
Parent organization
PROGRESS HOUSE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Authorized official

Name
Mrs. Barbara Vermilyea, MBA
Title
Executive Director
Phone
(530) 626-9240

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2986 Coloma St
Placerville, CA 95667-4441

Mailing address

PO Box 1666
Placerville, CA 95667-1666
Phone (530) 626-9240

National Provider Directory

National Provider Directory
Tax ID family
Progress House Inc Detox Center10 organizations share this tax ID, including this one
Part of
Progress House Inc Detox Center

Other organizations with this tax ID 9

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1336506302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1666",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956671666",
            "telephone_number": "530-626-9240",
            "fax_number": "530-626-8992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2986 COLOMA ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674441",
            "telephone_number": "530-626-9240",
            "fax_number": "530-626-8992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESS HOUSE INC DETOX CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESS HOUSE, INC",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "VERMILYEA",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-626-9240",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.