PROGRESSIVE HOUSING, INC (NPI# 1659438042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659438042 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE HOUSING, INC |
| Other Organization Name | TAYLORVILLE TERRACE |
| Practice Address |
921 E Market St Taylorville IL 62568-3902 |
| Mailing Address |
2020 W War Memorial Dr Suite 103 Peoria IL 61614-6754 |
| Practice Telephone | 2172877787 |
| Mailing Telephone | 3096850595 |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ROB KEIME (CFO) |
| Authorized Official Telephone | 3096850595 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | 1768516 | IL | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Taylorville Terrace | Doing Business As Name - Organization |
| Street Address |
921 E MARKET ST |
| City | TAYLORVILLE |
| State | IL |
| Zip Code | 62568-3902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619481629 | Kimberly Denae Washburn | Social Worker | 1100 Sandy Duncan Dr, Taylorville, IL 62568 | 2017-11-29 |
| 1043729841 | Christian County Young Men's Christian Association Inc | Health Educator | 900 Mcadam Dr, Taylorville, IL 62568 | 2017-09-25 |
| 1326597014 | Pamela A Napier | Case Manager/Care Coordinator | 610 S Webster St, Taylorville, IA 62568 | 2016-09-23 |
| 1619169364 | Ronald Eugene Mizer | Dentist | 400 West Main Cross, Taylorville, IL 62568 | 2007-08-16 |
| 1881770816 | Rosalina R. Gonzales | Family Medicine | Route 29 South, Taylorville, IL 62568 | 2006-10-31 |
| 1790868917 | Wal-mart Stores, Inc | Technician/Technologist | 1530 W. Springfield Rd., Taylorville, IL 62568 | 2006-10-23 |
| 1265514285 | Dr Timothy Hutson Dentist | Dentist | 929 W Spresser St, Taylorville, IL 62568 | 2006-10-19 |
| 1336220565 | Peggy Tell | Counselor | 730 North Pawnee, Taylorville, IL 62568 | 2006-10-17 |
| 1306946777 | Gateway Rehabilitation Taylorville LLC | Clinic/Center | 301-305 S Webster, Taylorville, IL 62568 | 2006-09-25 |
| 1497779763 | Richard Lee Zimmers | Dentist | 101 S Cherokee Street, Taylorville, IL 62568 | 2006-07-27 |
| Find all providers in zip 62568 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073643953 | Residential Horizons Inc. | Intermediate Care Facility, Mentally Retarded | 815 E Vine St, Taylorville, IL 62568-1932 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871039669 | Mount St Joseph | Intermediate Care Facility, Mentally Retarded | 24955 N Us Highway 12, Lake Zurich, IL 60047-8919 | 2017-01-17 |
| 1447792221 | Shore Community Services, Inc. | Intermediate Care Facility, Mentally Retarded | 8350 Laramie Ave, Skokie, IL 60077-2461 | 2016-11-10 |
| 1770930968 | Community Support Systems | Intermediate Care Facility, Mentally Retarded | 2311 Veterans Drive, Effingham, IL 62401 | 2016-05-18 |
| 1265898266 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 102 S Douglas St, Mc Leansboro, IL 62859-1637 | 2016-01-06 |
| 1164888160 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 1406 W Delaware St, Fairfield, IL 62837-2336 | 2016-01-06 |
| 1376909374 | Tdl Group, Inc | Intermediate Care Facility, Mentally Retarded | 416 Chula Vista Dr, Belleville, IL 62221-3160 | 2016-01-06 |
| 1437515434 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 206 N Washington St, Mc Leansboro, IL 62859-1049 | 2016-01-06 |
| 1790141885 | Tdl Group, Inc | Intermediate Care Facility, Mentally Retarded | 212 Turning Leaf Cir, Belleville, IL 62221-6747 | 2016-01-06 |
| 1790141794 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 867 County Road 2150 E, Fairfield, IL 62837-2824 | 2016-01-06 |
| 1255797254 | Tdl Group, Inc. | Intermediate Care Facility, Mentally Retarded | 9135 N Spring Garden Ln, Mount Vernon, IL 62864-6624 | 2016-01-06 |
| Find all providers with the same taxonomy | ||||
| City | TAYLORVILLE |
| Zip Code | 62568 |
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| 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.