PROGRESSIVE ADULT REHABILITATION CENTER, INC.


Address: 114 North Union Street, Suite B, Petersburg, VA 23803
Phone: 8047320685

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
VA MEDICAID 4943899 01
VA 4946634 05

Office Location

Street Address 114 NORTH UNION STREET
SUITE B
City PETERSBURG
State VA
Zip Code 23803

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1861556615 Evelyn V. Whitehead Counselor 115 E Wythe St, Petersburg, VA 23803 2006-12-19
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Taxonomy Information

Taxonomy Code 320600000X
Grouping Residential Treatment Facilities
Classification Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City PETERSBURG
Zip Code 23803

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Dataset Information

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.

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