NPIMap

Organization Active NPI

Progressive Recovery Resources Homes LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Charlotte, NC
National Provider Identifier
1851072169
Registry record updated Jul 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
PROGRESSIVE RECOVERY RESOURCES HOMES LLC
Practice address
3129 Creighton Dr
Charlotte, NC 28205-6209
Phone
(704) 891-6404
Fax
(980) 225-0560
NPI assigned
Jul 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2023

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

Authorized official

Name
Mr. Ameer Green
Title
Executive Director
Phone
(704) 891-6404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

3129 Creighton Dr
Charlotte, NC 28205-6209

Mailing address

3129 Creighton Dr
Charlotte, NC 28205-6209
Phone (704) 891-6404

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1851072169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 CREIGHTON DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056209",
            "telephone_number": "704-891-6404",
            "fax_number": "980-225-0560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3129 CREIGHTON DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282056209",
            "telephone_number": "704-891-6404",
            "fax_number": "980-225-0560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE RECOVERY RESOURCES HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "AMEER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "704-891-6404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; 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.