1710022843 NPI number — PROGRESSIVE RESIDENTIAL SERVICES OF TENNESSEE, INC.

Table of content: (NPI 1710022843)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710022843 NPI number — PROGRESSIVE RESIDENTIAL SERVICES OF TENNESSEE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PROGRESSIVE RESIDENTIAL SERVICES OF TENNESSEE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710022843
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/05/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6001 N ADAMS RD
Provider Second Line Business Mailing Address:
SUITE 165
Provider Business Mailing Address City Name:
BLOOMFIELD HILLS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48304-1566
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-641-7200
Provider Business Mailing Address Fax Number:
248-641-9338

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
107 MUSIC CITY CIR
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
NASHVILLE
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37214-1214
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-232-8186
Provider Business Practice Location Address Fax Number:
615-232-8187
Provider Enumeration Date:
02/20/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GUILFORD
Authorized Official First Name:
RACHEL
Authorized Official Middle Name:
Authorized Official Title or Position:
COO
Authorized Official Telephone Number:
248-641-7200

Provider Taxonomy Codes

  • Taxonomy code: 320600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00931 . This is a "STATE IDENTIFIER" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".




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