PROGRESS FOUNDATION NPI 1063577906

NPI Information

NPI: 1063577906
Provider Name: PROGRESS FOUNDATION

Other Name: AVENUES

Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
1443 7TH AVENUE
SAN FRANCISCO, CA
ZIP 94122
Phone: (415) 242-8034
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PROGRESS FOUNDATION is a community based residential treatment facility mental illness in San Francisco, CA. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. PROGRESS FOUNDATION NPI is 1063577906. The provider is registered as an organization entity type.
The provider Other Name Is Avenues.

The provider's business location address is:

1443 7TH AVENUE
SAN FRANCISCO, CA
ZIP 94122-702
Phone: (415) 242-8034
Fax: (415) 242-8039

The provider's authorized official is Steven Fields .
The authorized official title is Executive Director and has the following contact phone number (415) 861-0828.

The enumeration date for this NPI number is 12/22/2006 and was last updated on 11/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320800000X	Community Based Residential Treatment Facility, Mental Illness		385600111	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0000038A4	MEDICAID	CALIFORNIA
2	01428805	OTHER	CALIFORNIA	MEDICAL PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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