Provider Demographics
NPI:1962592444
Name:PROGRESS INDUSTRIES
Entity type:Organization
Organization Name:PROGRESS INDUSTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C E O
Authorized Official - Prefix:
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SKOKAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:641-791-2874
Mailing Address - Street 1:1017 E 7TH ST N
Mailing Address - Street 2:P O BOX 1449
Mailing Address - City:NEWTON
Mailing Address - State:IA
Mailing Address - Zip Code:50208-1449
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1017 E 7TH ST N
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IA
Practice Address - Zip Code:50208-1449
Practice Address - Country:US
Practice Address - Phone:641-791-2837
Practice Address - Fax:641-792-0337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA251C00000X, 373H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered373H00000XNursing Service Related ProvidersDay Training/Habilitation SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0881581OtherICF/MR - NURSING FACILITY
IA3228643OtherARO / REMEDIAL SERVICES
IA0093815Medicaid
IA0880682OtherICF/MR - NURSING FACILITY
IA0881599OtherICF/MR - NURSING FACILITY
IA0228643OtherARO / REMEDIAL SERVICES
IA2228643OtherARO / REMEDIAL SERVICES
IA1228643OtherARO / REMEDIAL SERVICES
IA4228643OtherARO / REMEDIAL SERVICES
IA5228643OtherARO / REMEDIAL SERVICES