Progressive Residential Services, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

PROGRESSIVE RESIDENTIAL SERVICES, INC.

Practice address

6001 N Adams Rd
Suite 165
Bloomfield Hills, MI 48304-1566

Phone

(248) 641-7200

Fax

(248) 641-9338

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Karen Miller

Title

C.a.S.O.

Phone

(248) 641-7200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1417091539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 N ADAMS RD",
            "address_2": "SUITE 165",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041566",
            "telephone_number": "248-641-7200",
            "fax_number": "248-641-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 N ADAMS RD",
            "address_2": "SUITE 165",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483041566",
            "telephone_number": "248-641-7200",
            "fax_number": "248-641-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "C.A.S.O.",
        "authorized_official_telephone_number": "248-641-7200"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.