NPIMap

Organization Active NPI

Progressive Macedonia LLC

  • Skilled Nursing Facility
  • Macedonia, OH
National Provider Identifier
1033650320
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
PROGRESSIVE MACEDONIA LLC
Practice address
9730 Valley View Rd
Macedonia, OH 44056-2040
Phone
(216) 661-6800
Fax
(216) 739-3789
NPI assigned
Mar 20, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Mr. Eitan Flank
Title
Member
Phone
(440) 684-9220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

9730 Valley View Rd
Macedonia, OH 44056-2040

Mailing address

5553 Broadview Rd
Parma, OH 44134-1604
Phone (216) 661-6800

Other names 1

  • Avenue at Macedonia Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170427001353 OH Part A Provider - Skilled Nursing Facility 9931486065 Practice locations: Macedonia, OH

Skilled nursing facility certification: CCN 366454

Legal name
PROGRESSIVE MACEDONIA LLC
Doing business as
AVENUE AT MACEDONIA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 14, 2017
Last certification
Feb 27, 2025
Beds
98
Ownership / control type
Corporation
Organization structure
LLCProprietary
Incorporated
Jun 24, 2015 in OH
Enrollment address
9730 Valley View Rd
Macedonia, OH 44056-2040
Nursing home name
AVENUE AT MACEDONIA
Affiliated entity
PROGRESSIVE QUALITY CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avenue at MacedoniaCCN 366454
Overall star rating
2 of 5
Health inspections
2 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Aug 14, 2017
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9884.7 residents per day on average
Chain
Progressive Quality Care11 facilities in the chain
Penalties (3 years)
2Fines totaling $23,140

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2132102Progressive Macedonia LLC Dba9730 Valley View Rd, Macedonia, OH 44056Certificate of waiverJun 12, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shaul Flank Individual 5% Or Greater Direct Ownership Interest Jun 10, 2022 20%
Corporate OfficerVP Jun 24, 2015
Adp of the SNF Jun 10, 2022
Eitan Flank Individual 5% Or Greater Direct Ownership Interest Jun 10, 2022 20%
Corporate OfficerVP Jun 24, 2015
Adp of the SNF Jun 24, 2015
Daniel Shiller Individual Corporate OfficerCfo Mar 27, 2017
Adp of the SNF Mar 27, 2017
Matan Flank Individual 5% Or Greater Direct Ownership Interest Jun 10, 2022 20%
Corporate OfficerVP Jun 24, 2015
Adp of the SNF Jun 10, 2022
Liat Flank Individual 5% Or Greater Direct Ownership Interest Jun 10, 2022 20%
Corporate OfficerVP Jun 24, 2015
Adp of the SNF Jun 10, 2022
Katherine Brock Individual Operational/Managerial Control Feb 26, 2024
Adp of the SNF Feb 26, 2024
Progressive Quality Care Inc Organization, Parma, OH Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Mar 27, 2017
Adp of the SNF Mar 27, 2025
Joel Sausen Individual 5% Or Greater Direct Ownership Interest Jun 10, 2022 20%
Corporate OfficerVP Jun 24, 2015
Adp of the SNF Jun 10, 2022

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1033650320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5553 BROADVIEW RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441341604",
            "telephone_number": "216-661-6800",
            "fax_number": "216-739-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 VALLEY VIEW RD",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440562040",
            "telephone_number": "216-661-6800",
            "fax_number": "216-739-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE MACEDONIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "FLANK",
        "authorized_official_first_name": "EITAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "440-684-9220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue at Macedonia",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Avenue at Macedonia",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Macedonia, OH

Sources for this page

Verify at the official NPI Registry.