NPIMap

Organization Active NPI

Progressive Housing, Inc

Doing business as Taylorville Terrace

  • Intellectual Disabilities Intermediate Care Facility
  • Taylorville, IL
National Provider Identifier
1659438042
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
1768516 Issued in IL
Legal business name
PROGRESSIVE HOUSING, INC
Doing business as
Taylorville Terrace
Practice address
921 E Market St
Taylorville, IL 62568-3902
Phone
(217) 287-7787
NPI assigned
Jan 3, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Rob Keime
Title
Cfo
Phone
(309) 685-0595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 1768516 IL Primary

Addresses

Primary practice location

921 E Market St
Taylorville, IL 62568-3902

Mailing address

2020 W War Memorial Dr
Suite 103
Peoria, IL 61614-6754
Phone (309) 685-0595

Other names 1

  • Taylorville Terrace Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659438042. Details of each certification follow.

  • CCN 14G272 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 14G272

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
TAYLORVILLE TERRACE
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Jun 17, 1991
Last certification
Oct 25, 2024
Beds
16
Ownership / control type
Private (non-profit)
Facility address
921 East Market Street
Taylorville, IL 62568

National Provider Directory

National Provider Directory
Tax ID family
Progressive Housing Inc11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659438042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W WAR MEMORIAL DR",
            "address_2": "SUITE 103",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616146754",
            "telephone_number": "309-685-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 E MARKET ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625683902",
            "telephone_number": "217-287-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE HOUSING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEIME",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "309-685-0595"
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "IL",
            "license": "1768516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Taylorville Terrace",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylorville, IL

Sources for this page

Verify at the official NPI Registry.