Provider Type Icon

PROGRESSIVE LIFE NPI 1487610077


NPI Information

NPI: 1487610077
Provider Name: PROGRESSIVE LIFE

Other Name: PROGRESSIVE LIFE OF NORTH TEXAS

Classification: Intermediate Care Facility, Mental Illness - 310500000X
Entity Type: Organization
Address:
1680 S EDMONDS LN
LEWISVILLE, TX
ZIP 75067
Phone: (972) 436-4538
Get Directions

PROGRESSIVE LIFE is an intermediate care facility mental illness in Lewisville, TX. The provider is a nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. PROGRESSIVE LIFE NPI is 1487610077. The provider is registered as an organization entity type.
The provider Other Name Is Progressive Life Of North Texas.

The provider's business location address is:

1680 S EDMONDS LN
LEWISVILLE, TX
ZIP 75067-803
Phone: (972) 436-4538

The provider's authorized official is Mike Hawker .
The authorized official title is Cfo and has the following contact phone number (210) 340-7155.

The enumeration date for this NPI number is 4/24/2006 and was last updated on 8/22/2020.


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
1310500000XIntermediate Care Facility, Mental Illness006716TEXASYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.