Progressive Residential Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

PROGRESSIVE RESIDENTIAL CARE LLC

Practice address

11943 Yoakum Dr
Frisco, TX 75035-2337

Phone

(214) 494-4508

Fax

(214) 494-4508

NPI assigned

Apr 11, 2011

Last updated

Apr 11, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Balliram Rambally

Title

President

Phone

(631) 885-1994

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1457641524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11943 YOAKUM DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750352337",
            "telephone_number": "214-494-4508",
            "fax_number": "214-494-4508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11943 YOAKUM DR",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750352337",
            "telephone_number": "214-494-4508",
            "fax_number": "214-494-4508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "RAMBALLY",
        "authorized_official_first_name": "BALLIRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-885-1994",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based 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 Community Based Residential Treatment Facility in Frisco, TX
• Providers in Frisco, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.