PROGRESSIVE COMMUNITY SERVICES (NPI# 1184740342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184740342 |
| Entity Type | Organization |
| Organization Name | PROGRESSIVE COMMUNITY SERVICES |
| Practice Address |
2612 Doniphan Ave Saint Joseph MO 64507-1457 |
| Mailing Address |
1025 N 22nd St Saint Joseph MO 64506-2607 |
| Practice Telephone | 8163643827 |
| Practice Fax Number | 8163640470 |
| Mailing Telephone | 8163643827 |
| Mailing Fax Number | 8163640470 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. LYNN WELLS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8163643827 |
| 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 | 1447-9743 | MO | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114052024 | Progressive Community Services | Case Management | 1025 N 22nd St, Saint Joseph, MO 64506-2607 | 2007-02-22 |
| 1013196930 | Progressive Community Services | Day Training, Developmentally Disabled Services | 3617 Betterton Ln, Charlotte, NC 28269-0148 | 2007-10-26 |
| 1629194899 | Progressive Community Services | Day Training, Developmentally Disabled Services | 1025 N 22nd St, Saint Joseph, MO 64506-2607 | 2007-03-21 |
| 1336265503 | Progressive Community Services | Day Training, Developmentally Disabled Services | 1025 N 22nd St, Saint Joseph, MO 64506-2607 | 2007-03-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROGRESSIVE COMMUNITY SERVICES | 1620 N Woodbine Rd, Saint Joseph, MO 64506-3662 |
| Street Address |
2612 DONIPHAN AVE |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64507-1457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346644044 | Janaha Anderson | Dental Hygienist | 4073 Se Cunningham Rd, St. Joseph, MO 64507 | 2014-10-09 |
| 1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1356300735 | St Joseph Oncology Inc | Internal Medicine | 902 No Riverside Rd, Suite 200, St Joseph, MO 64507 | 2006-03-22 |
| 1962478560 | Douglas Chyatte | Neurological Surgery | 802 N Riverside Rd Ste 120, Saint Joseph, MO 64507 | 2006-02-24 |
| 1073089546 | Chaz Caleb Johnson | Physical Therapist | 5506 Corporate Dr Ste 1800, Saint Joseph, MO 64507 | 2018-10-22 |
| 1295228344 | Julie Odonnell Phd LLC | Clinic/Center | 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507 | 2018-06-13 |
| 1912369695 | Luke Nathan Prest | Pediatrics | 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507 | 2016-03-22 |
| 1396007894 | Brian Wright Roe | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507 | 2012-06-11 |
| 1861873952 | Edison Derr II | Specialist/Technologist | 2214 Maple St, Saint Joseph, MO 64507-1413 | 2015-06-15 |
| Find all providers in zip 64507 | ||||
| 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 |
|---|---|---|---|---|
| 1275659435 | Progressive Community Service | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 225 S 36th St, Saint Joseph, MO 64506-2921 | 2007-03-21 |
| 1952432353 | Unity Home Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3508 Sacramento St, Saint Joseph, MO 64507-1951 | 2007-03-08 |
| 1114058971 | Specialized Support Services, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1353 Buchanan Ave, Saint Joseph, MO 64501-2003 | 2007-03-07 |
| 1760531230 | Unity Home Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3410 Jackson St, Saint Joseph, MO 64507-1937 | 2007-01-10 |
| 1326112293 | Hanger Prosthetics & Orthotics East, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1005 W Saint Maartens Dr Ste B, Saint Joseph, MO 64506-2989 | 2006-11-20 |
| 1205828381 | Randolph Medical Plus LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2303 S 22nd St, Saint Joseph, MO 64503-2811 | 2005-08-16 |
| 1992339923 | Midland Empire Resources for Independent Living Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4420 S 40th St, Saint Joseph, MO 64503-2157 | 2020-02-28 |
| 1609331982 | Allison F Lippard | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2924 Sacramento St, Saint Joseph, MO 64507-1844 | 2019-01-31 |
| 1336571330 | Carpentieri & Associates, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4006 N 31st St, Saint Joseph, MO 64506-1373 | 2013-08-01 |
| 1558622886 | Covenant In Home Care LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2400 Frederick Ave, Suite 201, Saint Joseph, MO 64506-2758 | 2012-06-04 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64507 |
Please comment or provide details below to improve the information on PROGRESSIVE COMMUNITY SERVICES.
| 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.