PROGRESSIVE HEALTH OF PENNSYLVANIA INC. (NPI# 1114063633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114063633 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE HEALTH OF PENNSYLVANIA INC. |
| Practice Address |
110 E Harford St Milford PA 18337-1002 |
| Mailing Address |
110 East Harford Street Milford PA 18337-1002 |
| Practice Telephone | 5702965156 |
| Practice Fax Number | 5702962592 |
| Mailing Telephone | 5702965156 |
| Mailing Fax Number | 5702962592 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2015-05-29 |
| Authorized Official Name | MR. PAUL BROOKS (CEO) |
| Authorized Official Telephone | 5702965156 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1006808200002 | 05 |
| Street Address |
110 E HARFORD ST |
| City | MILFORD |
| State | PA |
| Zip Code | 18337-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821642604 | Arieal B Walsh | Social Worker | 110 E Harford St, Milford, PA 18337-1002 | 2019-07-30 |
| 1811541600 | Jennifer Lynn Simpson | Counselor | 110 E Harford St, Milford, PA 18337-1002 | 2019-07-30 |
| 1346629912 | Danielle Petersen | Occupational Therapy Assistant | 110 E Harford St, Milford, PA 18337-1002 | 2015-05-28 |
| 1427199579 | Elizabeth Ann Povanda | Speech-Language Pathologist | 110 E Harford St, Milford, PA 18337-1002 | 2007-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568431 | Northeastern Behavioral Health, PC | Clinic/Center | 140 Bennett Avenue, Suite 1b, Milford, PA 18337 | 2020-01-27 |
| 1023652070 | Ellen Marie Lucca | Registered Nurse | 111 East Catharine St. Suite 210, Milford, PA 18337 | 2019-11-03 |
| 1609421064 | Deborah Reynolds Lpn | Licensed Practical Nurse | 123 Sylvaer Drive, Milford, PA 18337 | 2019-08-02 |
| 1003334491 | Jessica Balcarcel | Specialist/Technologist | 154 Bayberry Drive, Milford, PA 18337 | 2017-09-06 |
| 1528502549 | Ashley Lyn Catanzaro | Occupational Therapist | 101 Pocono Drive, Milford, PA 18337 | 2016-12-09 |
| 1164857108 | Benjamin Muller | Physical Therapist | 518 Routes 6 and 209, Milford, PA 18337 | 2013-09-10 |
| 1457629024 | Andrew James Dickson | Pharmacist | 105 Wheatfield Dirve, Suite 2, Milford, PA 18337 | 2011-12-09 |
| 1801163225 | Alitons Pharmacy Home Healthcare Centers of Milford Inc | Durable Medical Equipment & Medical Supplies | 111-113 Route 6 Alitons Plaza, Milford, PA 18337 | 2011-11-30 |
| 1639465438 | John Mario Lettieri IIi | Pharmacist | 100 West Harford, Milford, PA 18337 | 2011-06-21 |
| 1265661961 | Harry George Boyle | Dentist | 211 East Harford Street, Milford, PA 18337 | 2009-07-02 |
| Find all providers in zip 18337 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316473838 | The Arc of Hunterdon County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20 John Lelo Ave, Milford, NJ 08848-1014 | 2017-05-03 |
| 1053835678 | Bruce Eugene Perrault | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1551 S Hickory Ridge Rd, Milford, MI 48380-1519 | 2017-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356940183 | Kenccid | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9350 Ashton Rd Rm 202, Philadelphia, PA 19114-7402 | 2020-10-22 |
| 1952908618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 604 Glen Circle Dr, Tobyhanna, PA 18466-8300 | 2020-10-06 |
| 1598375305 | Impactful Human Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1055 Westlakes Dr Ste 3003, Berwyn, PA 19312-2410 | 2020-08-06 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1437775442 | The Arc of Crawford County, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 222 Chestnut St, Meadville, PA 16335-3407 | 2020-06-25 |
| 1568094142 | Keystone Community Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1768 Mcdonough Ave, Scranton, PA 18508-1566 | 2020-02-11 |
| 1114559267 | Keystone Community Resources, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 336 Sheridan Ave, Clarks Summit, PA 18411-1458 | 2020-02-06 |
| 1619507332 | Above & Beyond Berks LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1007 Saylor Dr, Temple, PA 19560-9587 | 2020-01-22 |
| 1700425287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 639 N South Turnpike Rd, Newfoundland, PA 18445-5032 | 2019-12-31 |
| 1891331120 | Gifted Hands Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1853 William Penn Way Ste 13, Lancaster, PA 17601-6713 | 2019-11-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PROGRESSIVE HEALTH OF PENNSYLVANIA INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.