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PROGRESSIVE HOUSING INC. NPI 1952467847


NPI Information

NPI: 1952467847
Provider Name: PROGRESSIVE HOUSING, INC.

Doing Business As: AVISTON TERRACE

Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
349 W 1ST ST
AVISTON, IL
ZIP 62216
Phone: (618) 228-7040
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PROGRESSIVE HOUSING, INC. is an intermediate care facility mentally retarded in Aviston, IL. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. PROGRESSIVE HOUSING, INC. NPI is 1952467847. The provider is registered as an organization entity type.
The provider Is Doing Business As Aviston Terrace.

The provider's business location address is:

349 W 1ST ST
AVISTON, IL
ZIP 62216-438
Phone: (618) 228-7040

The provider's authorized official is Rob Keime .
The authorized official title is Cfo and has the following contact phone number (309) 685-0595.

The enumeration date for this NPI number is 12/28/2006 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
1315P00000XIntermediate Care Facility, Intellectual Disabilities0038749ILLINOISYes

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

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