PROGRESSIVE LIFE OF NORTH TEXAS
NPI 1487610077
Intermediate Care Facility, Mental Illness in Lewisville, TX

NPI Status: Active since April 24, 2006

Contact Information

1680 S EDMONDS LN
LEWISVILLE, TX
ZIP 75067
Phone: (972) 436-4538

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About PROGRESSIVE LIFE OF NORTH TEXAS

This page provides the complete NPI Profile along with additional information for Progressive Life Of North Texas, a provider established in Lewisville, Texas operating as a Intermediate Care Facility, Mental Illness. The healthcare provider is registered in the NPI registry with number 1487610077 assigned on April 2006. The practitioner's primary taxonomy code is 310500000X with license number 006716 (TX). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's other name is Progressive Life Of North Texas. The authorized official of this NPI record is Mr. Mike Hawker (Cfo)

NPI
1487610077
Provider Legal Name
PROGRESSIVE LIFE
Other Organization Name
PROGRESSIVE LIFE OF NORTH TEXAS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1680 S EDMONDS LN LEWISVILLE, TX 75067
Location Phone
(972) 436-4538
Mailing Address
845 PROTON RD SAN ANTONIO, TX 78258
Mailing Phone
(210) 340-7155
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-24-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Intermediate Care Facility, Mental Illness

Taxonomy Code
310500000X
Type
Nursing & Custodial Care Facilities
License No.
006716
License State
TX
Taxonomy Description
A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MIKE HAWKER

Authorized Official Title
CFO
Authorized Official Phone
(210) 340-7155

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1487610077
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241671210014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 6 + 7 + 1 + 2 + 1 + 0 + 0 + 1 + 4 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1487610077 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508821760CIMARRON LIVVING CENTER LTD
Organization
Intermediate Care Facility, Mental Illness1680 S EDMONDS LN
LEWISVILLE, TX 75067
(972) 436-4538

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487610077, enumerated in the NPI registry as an "organization" on April 24, 2006

The provider is located at 1680 S Edmonds Ln Lewisville, Tx 75067 and the phone number is (972) 436-4538

This medical organization specializes in Intermediate Care Facility, Mental Illness with taxonomy code 310500000X

This NPI record was last updated on April 24, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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