Progressive Center for Independent Living, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PROGRESSIVE CENTER FOR INDEPENDENT LIVING, INC

Practice address

1262 Whitehorse Hamilton Square Rd
BLDG a, Suite 102
Hamilton, NJ 08690-3711

Phone

(609) 581-4500

Fax

(609) 581-4555

NPI assigned

Jan 13, 2011

Organization subpart

No

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

Authorized official

Name

Scott Elliott

Title

Executive Director

Phone

(609) 581-4500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1294876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294876800000",
    "number": "1649575259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 WHITEHORSE HAMILTON SQ RD",
            "address_2": "BLDG A, SUITE 102",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903710",
            "telephone_number": "609-581-4500",
            "fax_number": "609-581-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 WHITEHORSE HAMILTON SQUARE RD",
            "address_2": "BLDG A, SUITE 102",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086903711",
            "telephone_number": "609-581-4500",
            "fax_number": "609-581-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE CENTER FOR INDEPENDENT LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-13",
        "last_updated": "2011-01-13",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "609-581-4500"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Case Management Agency in Hamilton, NJ
• Providers in Hamilton, NJ by specialty
• Case Management Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.