PROGRESSIVE RECOVERY RESOURCES HOMES LLC NPI 1851072169

NPI Information

  • NPI: 1851072169
  • Provider Name: PROGRESSIVE RECOVERY RESOURCES HOMES LLC
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • Address: 3129 CREIGHTON DR
    CHARLOTTE, NC
    ZIP 28205
  • Phone: (704) 891-6404

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NPI Details

PROGRESSIVE RECOVERY RESOURCES HOMES LLC is a residential treatment facility, intellectual and/or developmental disabilities in Charlotte, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. PROGRESSIVE RECOVERY RESOURCES HOMES LLC NPI is 1851072169. The provider is registered as an organization entity type.

The provider's business location address is:

3129 CREIGHTON DR
CHARLOTTE, NC
ZIP 28205-209
Phone: (704) 891-6404
Fax: (980) 225-0560

The provider's authorized official is Ameer Green .
The authorized official title is Executive Director and has the following contact phone number (704) 891-6404.

The enumeration date for this NPI number is 7/28/2023 and was last updated on 7/28/2023.

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
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesYes

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: 3/30/2025

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