NPIMap

Organization Active NPI

Progressive Wooster LLC

  • Skilled Nursing Facility
  • Wooster, OH
National Provider Identifier
1205347028
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 WOOSTER LLC
Practice address
1700 E Smithville Wester Rd
Wooster, OH 44691
Phone
(216) 661-6800
Fax
(216) 739-3789
NPI assigned
Oct 19, 2017
Last updated
May 3, 2021By the provider in NPPES
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 OH Primary

Addresses

Primary practice location

1700 E Smithville Wester Rd
Wooster, OH 44691

Mailing address

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

Other names 1

  • Avenue at Wooster Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171116001116 OH Part A Provider - Skilled Nursing Facility 2961768445 Practice locations: Wooster, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1205347028. Details of each certification follow.

Skilled nursing facility certification: CCN 366463

Legal name
PROGRESSIVE WOOSTER LLC
Doing business as
AVENUE AT WOOSTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 6, 2018
Last certification
Mar 20, 2025
Beds
82
Ownership / control type
Corporation
Multi-facility organization
Progressive Quality Care
Organization structure
LLCProprietary
Incorporated
Jun 25, 2015 in OH
Enrollment address
1700 E Smithville Western Rd
Wooster, OH 44691-1010
Nursing home name
AVENUE AT WOOSTER
Affiliated entity
PROGRESSIVE QUALITY CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avenue at WoosterCCN 366463 · All quality measures
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Apr 6, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8278.3 residents per day on average
Chain
Progressive Quality Care11 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
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.

Ownership & related parties

All disclosed owners & managing parties 9

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

NameRoleSinceShare
Paul R Nielsen Individual Operational/Managerial Control Feb 15, 2018
Adp of the SNF Feb 15, 2018
Shaul Flank Individual 5% Or Greater Direct Ownership Interest Jun 10, 2022 20%
Corporate OfficerVice President Jun 25, 2015
Adp of the SNF Jun 10, 2022
Eitan Flank Individual 5% Or Greater Direct Ownership Interest Jun 10, 2022 20%
Corporate OfficerVice President Jun 25, 2015
Adp of the SNF Oct 30, 2017
Daniel Shiller Individual Corporate OfficerCfo Nov 1, 2017
Adp of the SNF Oct 30, 2017
Matan Flank Individual 5% Or Greater Direct Ownership Interest Jun 10, 2022 20%
Corporate OfficerVice President Jun 25, 2015
Adp of the SNF Jun 10, 2022
Liat Flank Individual 5% Or Greater Direct Ownership Interest Jun 10, 2022 20%
Corporate OfficerVice President Jun 25, 2015
Adp of the SNF Jun 10, 2022
Progressive Quality Care Inc Organization, Parma, OH Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Jan 1, 2018
Adp of the SNF Mar 17, 2025
Chad Giauque Individual Operational/Managerial Control Jun 13, 2022
Adp of the SNF Jun 13, 2022
Joel Sausen Individual 5% Or Greater Direct Ownership Interest Jun 10, 2022 20%
Corporate OfficerVice President Jun 25, 2015
Adp of the SNF Jun 10, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 10

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

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": "1508371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1205347028",
    "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": "1700 E SMITHVILLE WESTER RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "44691",
            "telephone_number": "216-661-6800",
            "fax_number": "216-739-3789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE WOOSTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-19",
        "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": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue at Wooster",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.