MEDICARE: PROGRESSIVE COMMUNITY NETWORK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	320800000X	Mental Illness Community Based Residential Treatment Facility
2	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
3	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1841873395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROGRESSIVE COMMUNITY NETWORK

Provider Business Mailing Address
First Line	:	820 COTTAGE ST
Second Line	:
City	:	ADEL
State	:	IA
Zip	:	50003-2032
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 COTTAGE ST
Second Line	:
City	:	ADEL
State	:	IA
Zip	:	50003-2032
Country	:	US
Telephone Number	:	515-822-5133
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	COLIN JAMES BUCHMAN
Credential	:
Telephone Number	:	515-822-5133

Provider Enumeration Date	:	05/03/2021
Last Update Date	:	06/17/2021

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Directions to “PROGRESSIVE COMMUNITY NETWORK ” Practice Location

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