Progressive Lyndhurst LLC

Skilled Nursing Facility · Lyndhurst, OH

Organization Active NPI

NPI number 1174117824

Practice location

5442 Rae Rd
Lyndhurst, OH 44124-1342
Phone
(440) 684-8448

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NPI record

NPI
1174117824
Entity type
Organization (Type 2)
Enumeration date
February 23, 2021
Last updated
May 3, 2021
Certified
May 3, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —
Assisted Living Facility 310400000X — —

Mailing address

5553 Broadview Rd
Parma, OH 44134-1604
Phone
(216) 661-6800
Fax
(440) 551-2881

Authorized official

Name
Mr. Dan Shiller, CPA
Title
CFO
Phone
(440) 684-9220

Other names

  • Avenue at Lyndhurst
  • Avenue at Lyndhurst

About Progressive Lyndhurst LLC

Progressive Lyndhurst LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 5442 Rae Rd, Lyndhurst, OH 44124-1342. The NPI number 1174117824 was assigned on February 23, 2021 and the record was last updated on May 3, 2021.

The authorized official for this organization is Mr. Dan Shiller, CPA, CFO.

Frequently asked questions

What is the NPI number of Progressive Lyndhurst LLC?

The NPI number is 1174117824.

What is the phone number of Progressive Lyndhurst LLC?

The phone number listed for the practice location is (440) 684-8448.

Where is Progressive Lyndhurst LLC located?

5442 Rae Rd, Lyndhurst, OH 44124-1342.

What is the taxonomy code for Progressive Lyndhurst LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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