Progressive Alternative Living, Inc. in Higginsville - Intermediate Care Facility, Intellectual Disabilities
Progressive Alternative Living, Inc. - NPI 1093981052
Progressive Alternative Living, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Higginsville, Missouri. Progressive Alternative Living, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Progressive Alternative Living, Inc. is 1093981052. The last update date is 2008-07-22.
Progressive Alternative Living, Inc.'s current location address is 410 W Broadway St, Higginsville, Missouri. You can contact this provider via phone number 6605842199 and fax number 6605843199. The mailing address for Progressive Alternative Living, Inc. is 410 W Broadway St, Higginsville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Progressive Alternative Living, Inc. |
|---|---|
| Address | 410 W Broadway St, Higginsville, Missouri |
| Phone Number | 6605842199 |
| Fax Number | 6605843199 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Marr A. Terri |
| Telephone Number | 6605842199 |
NPI Number Detail
| NPI Number | 1093981052 |
|---|---|
| Provider Enumeration Date | 2008-04-30 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | 410 W Broadway St |
|---|---|
| City | Higginsville |
| State | Missouri (MO) |
| Post Code | 640371947 |
| Phone Number | 6605842199 |
| Fax Number | 6605843199 |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 8530834180 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 853083400 | MO | -- | |
| 853083418 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Progressive Alternative Living, Inc.?
The Progressive Alternative Living, Inc. has been issued the NPI (National Provider Identifier) 1093981052 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Progressive Alternative Living, Inc.?
The Progressive Alternative Living, Inc. is situated at 410 W Broadway St, in the city of Higginsville, state of MO, with the zip code 640371947.
What is the Progressive Alternative Living, Inc.'s area of specialization and corresponding taxonomy classification?
The Progressive Alternative Living, Inc.'s specialty field is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093981052 to Progressive Alternative Living, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1093981052 to Progressive Alternative Living, Inc. on 2008-04-30.
When was the information related to Progressive Alternative Living, Inc. most recently updated or refreshed?
The details pertaining to the Progressive Alternative Living, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-07-22.