Progressive Wooster LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PROGRESSIVE WOOSTER LLC

Doing business as

Avenue at Wooster

Practice address

1700 E Smithville Western Rd
Wooster, OH 44691-1010

Phone

(330) 601-1001

NPI assigned

Dec 14, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Dan Shiller, CPA

Title

Cfo

Phone

(216) 509-7095

Specialties & licenses 1

Addresses

Other names 1

• Avenue at Wooster Doing business as

Tax ID family

Avenue at Wooster2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Progressive Wooster LLC

  • Skilled Nursing Facility
  • Wooster, OH
  • NPI 1205347028
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1023886579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5442 RAE RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441241342",
            "telephone_number": "440-684-9220",
            "fax_number": "440-684-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E SMITHVILLE WESTERN RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911010",
            "telephone_number": "330-601-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE WOOSTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "SHILLER",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "216-509-7095",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue at Wooster",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natasha Pritchett, CDCA
• Juan Miguel Proano, M.D.
• Professional Counseling Associates, LLC (Behavioral Health Professional)
• Progressive Pines LLC (Glendora - Laboratory)
• Progressive Pines, LLC (Glendora Care Center)
• Progressive Wooster LLC
• Jennifer Prosser, COTA
• Bethany Proudfoot, DSW, LNHA, LSW
• Katherine Provenzano, CNP
• Asia Pruitt

• Assisted Living Facility in Wooster, OH
• Providers in Wooster, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.