Progessive Life in San Antonio - Intermediate Care Facility, Mental Illness
Progessive Life - NPI 1366408312
Progessive Life is a Intermediate Care Facility, Mental Illness in San Antonio, Texas. Progessive Life practices all healthcare services and medical treatments related to Intermediate Care Facility, Mental Illness. The NPI Number for Progessive Life is 1366408312. The last update date is 2020-08-22.
Progessive Life's current location address is 835 Proton Rd, San Antonio, Texas. You can contact this provider via phone number 2105583097 and fax number 2105589791. The mailing address for Progessive Life is 835 Proton Rd, San Antonio, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Progessive Life |
|---|---|
| Address | 835 Proton Rd, San Antonio, Texas |
| Phone Number | 2105583097 |
| Fax Number | 2105589791 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Hawker Mike |
| Telephone Number | 2103407155 |
NPI Number Detail
| NPI Number | 1366408312 |
|---|---|
| Provider Enumeration Date | 2006-04-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 835 Proton Rd |
|---|---|
| City | San Antonio |
| State | Texas (TX) |
| Post Code | 782584203 |
| Phone Number | 2105583097 |
| Fax Number | 2105589791 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Mental Illness |
|---|---|
| Taxonomy | 310500000X |
| Licence No | 6716 |
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Definition: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
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What is the unique 10-digit identification code assigned to Progessive Life by the Centers for Medicare & Medicaid Services?
The Progessive Life has been issued the NPI (National Provider Identifier) 1366408312, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Progessive Life is geographically located?
The Progessive Life is physically situated at the following location: 835 Proton Rd, San Antonio, TX, 782584203.
What is the area of specialization for Progessive Life, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Progessive Life is Intermediate Care Facility, Mental Illness, and the corresponding taxonomy code that categorizes this area of expertise is 310500000X.
On what date did the Progessive Life receive its 1366408312 assignment from the Centers for Medicare & Medicaid Services?
The Progessive Life was assigned its 1366408312 by the Centers for Medicare & Medicaid Services on 2006-04-26.
As of what date were the details related to Progessive Life most recently updated or revised?
The information pertaining to Progessive Life, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.