Progressive Life Of Central Texas

LBN: Progressive Life, Ltd
Progressive Life Of Central Texas is an health care organization with primary practice located at 17016 Copperhead Dr , Round Rock TX 78664-8616. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Progressive Life, Ltd can be contacted via phone (512) 892-2191, or through Bowers, Gary via phone (210) 340-7155.

Contact Information

Primary practice address
17016 Copperhead Dr Round Rock TX 78664-8616
Phone: (512) 892-2191
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bowers, Gary
Phone: (210) 340-7155

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1477860435
LBN Legal business name Progressive Life, Ltd
DBA Doing business as Progressive Life Of Central Texas
Authorized official Bowers, Gary
Entity Organization
Organization subpart 1 No
Enumeration date Sep 10th, 2010
Last updated Sep 10th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477860435 NPPES
Texas MEDICAID 001008861

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