Organization Active NPI

New Progressions, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Greensboro, NC
National Provider Identifier
1568559540
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
MHL-041-764 Issued in NC
Legal business name
NEW PROGRESSIONS, LLC
Practice address
620 Guilford College Rd Ste G
Greensboro, NC 27409-2027
Phone
(336) 254-6770
Fax
(336) 292-1589
NPI assigned
Oct 9, 2006
Last updated
Nov 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Authorized official

Name
Mr. Geovon Kenane Martin, B.A.
Title
Ceo/ Director
Phone
(336) 254-6770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X MHL-041-764 NC Primary

Addresses

Primary practice location

620 Guilford College Rd Ste G
Greensboro, NC 27409-2027

Mailing address

620 Guilford College Rd Ste G
Greensboro, NC 27409-2027
Phone (336) 254-6770

Other identifiers 1

IdentifierTypeStateIssuer
8300792MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321401600000",
    "number": "1568559540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 GUILFORD COLLEGE RD STE G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274092027",
            "telephone_number": "336-254-6770",
            "fax_number": "336-292-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 GUILFORD COLLEGE RD STE G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274092027",
            "telephone_number": "336-254-6770",
            "fax_number": "336-292-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW PROGRESSIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2011-11-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "GEOVON",
        "authorized_official_middle_name": "KENANE",
        "authorized_official_title_or_position": "CEO/ DIRECTOR",
        "authorized_official_telephone_number": "336-254-6770",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NC",
            "license": "MHL-041-764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300792",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.