Progressive Brooklyn LLC

Skilled Nursing Facility · Brooklyn, OH

Organization Active NPI

NPI number 1578137006

Practice location

4700 Idlewood Dr
Brooklyn, OH 44144
Phone
(440) 684-9220
Fax
(440) 684-9245

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NPI record

NPI
1578137006
Entity type
Organization (Type 2)
Enumeration date
May 19, 2021
Last updated
May 19, 2021
Certified
April 21, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Mailing address

5442 Rae Rd
Lyndhurst, OH 44124-1342
Phone
(216) 509-7095

Authorized official

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

Other names

  • Avenue at Brooklyn

About Progressive Brooklyn LLC

Progressive Brooklyn LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 4700 Idlewood Dr, Brooklyn, OH 44144. The NPI number 1578137006 was assigned on May 19, 2021 and the record was last updated on May 19, 2021.

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

Frequently asked questions

What is the NPI number of Progressive Brooklyn LLC?

The NPI number is 1578137006.

What is the phone number of Progressive Brooklyn LLC?

The phone number listed for the practice location is (440) 684-9220.

Where is Progressive Brooklyn LLC located?

4700 Idlewood Dr, Brooklyn, OH 44144.

What is the taxonomy code for Progressive Brooklyn LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

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.