PROGRESSIVE ADULT REHABILITATION CENTER, INC. (NPI# 1154473155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154473155 |
Entity Type | Organization |
Organization Name | PROGRESSIVE ADULT REHABILITATION CENTER, INC. |
Practice Address |
114 North Union Street Suite B Petersburg VA 23803 |
Mailing Address |
Po Box 2085 114 North Union Street Suite B Petersburg VA 23803 |
Practice Telephone | 8047320685 |
Practice Fax Number | 8047324988 |
Mailing Telephone | 8047320685 |
Mailing Fax Number | 8047324988 |
Enumeration Date | 2007-01-18 |
Last Update Date | 2017-08-03 |
Authorized Official Name | MRS. FELICIA B DANIELS (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 8047320685 |
Authorized Official Credential | MSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
VA | MEDICAID | 4943899 | 01 |
VA | 4946634 | 05 |
Street Address |
114 NORTH UNION STREET SUITE B |
City | PETERSBURG |
State | VA |
Zip Code | 23803 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619523719 | Wise Journey Ltd | Home Health | 325-b Brown Street Suite 132, Petersburg, VA 23803 | 2019-08-14 |
1386101699 | Marliqua Barnes | Driver | 601 Carter St, Petersburg, VA 23803 | 2019-02-22 |
1356596571 | Quality Healthcare Inc | Community/Behavioral Health | 6111 Duncan Rd, Ste F, Petersburg, VA 23803 | 2008-12-02 |
1861614943 | Peoples Family Dental Care | Dentist | 1328 W Washington St, Petersburg, VA 23803 | 2007-05-02 |
1841333721 | Family Preservation Services, Inc | Community/Behavioral Health | 1000 Patterson Ave, Petersburg, VA 23803 | 2007-02-14 |
1861556615 | Evelyn V. Whitehead | Counselor | 115 E Wythe St, Petersburg, VA 23803 | 2006-12-19 |
1538248778 | Raymond Gibson Smith Jr. | Dentist | Seventh Avenue, Hiram Davis Medical Center, Petersburg, VA 23803 | 2006-11-06 |
1396842282 | Eugene Arthur Richardson IIi | Dentist | 23 Shore Street, Petersburg, VA 23803 | 2006-09-20 |
1679594030 | Olumuyiwa Akinniyi Ojediran | Internal Medicine | 734 South Sycamore Street, Petersburg, VA 23803 | 2006-07-21 |
1104872019 | Mark Militana | Emergency Medicine | 804 South Adams Street, Petersburg, VA 23803 | 2006-05-25 |
Find all providers in zip 23803 |
Taxonomy Code | 320600000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649813478 | Altruistic Life Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2443 Parkview Ave, Petersburg, VA 23803-4811 | 2019-10-24 |
1215360706 | Independent Family Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1953 Coggin St, Petersburg, VA 23805-2009 | 2013-08-20 |
1205184157 | Positive Living Choices LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1735 Monticello St, Petersburg, VA 23805-1640 | 2012-08-27 |
1285902320 | Independent Homes, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1816 Arch St, Petersburg, VA 23805-1618 | 2011-12-04 |
1013139690 | Pryor House, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1822 Bogese Dr, Petersburg, VA 23805-2920 | 2007-05-03 |
1902978752 | Visions Family Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10553 S Crater Rd, Petersburg, VA 23805-7333 | 2006-11-15 |
1659970309 | Faithful Friends Family Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1040 7th St, Petersburg, VA 23803-5259 | 2020-10-23 |
1548475098 | Pike County Area Rehabilitation Centers Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 403 S 3rd St, Petersburg, IN 47567-1654 | 2007-05-10 |
1043423312 | Pike County Area Rehabilitation Centers Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1214 E Main St, Petersburg, IN 47567-1339 | 2007-05-07 |
1093794877 | Southside Virginia Traninng Center | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 26317 W Washington St, Petersburg, VA 23803-0030 | 2006-01-11 |
Find all providers in PETERSBURG |
City | PETERSBURG |
Zip Code | 23803 |
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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.