NPIMap

Organization Active NPI

Progressive North Ridgeville LLC

Doing business as Avenue at North Ridgeville

  • Skilled Nursing Facility
  • North Ridgeville, OH
National Provider Identifier
1396384194
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 NORTH RIDGEVILLE LLC
Doing business as
Avenue at North Ridgeville
Practice address
6200 Lear Nagle Rd
North Ridgeville, OH 44039-3224
Phone
(440) 353-0066
NPI assigned
Dec 27, 2019
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. Daniel Shiller
Title
Cfo
Phone
(440) 684-9220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

6200 Lear Nagle Rd
North Ridgeville, OH 44039-3224

Mailing address

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

Other names 1

  • Avenue at North Ridgeville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200227002437 OH Part A Provider - Skilled Nursing Facility 9234566407 Practice locations: North Ridgeville, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1396384194. Details of each certification follow.

Skilled nursing facility certification: CCN 366477

Legal name
PROGRESSIVE NORTH RIDGEVILLE, LLC
Doing business as
AVENUE AT NORTH RIDGEVILLE
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 17, 2020
Last certification
Feb 22, 2023
Beds
103
Ownership / control type
Corporation
Multi-facility organization
PROGRESSIVE QUALITY CARE
Organization structure
LLCProprietary
Incorporated
Jun 15, 2018 in OH
Enrollment address
6200 Lear Nagle Rd
North Ridgeville, OH 44039-3224
Nursing home name
AVENUE AT NORTH RIDGEVILLE
Affiliated entity
PROGRESSIVE QUALITY CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avenue at North RidgevilleCCN 366477 · All quality measures
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jun 17, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10396.9 residents per day on average
Chain
Progressive Quality Care11 facilities in the chain
Penalties (3 years)
3Fines totaling $68,390

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
36D2178174Avenue at North Ridgeville6200 Lear Nagle Rd, North Ridgeville, OH 44039Certificate of waiverJan 27, 2028

National Provider Directory

National Provider Directory

Locations

6200 Lear Nagle Rd
North Ridgeville, OH 44039
Phone (216) 663-1203

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Vito Colonna Individual 5% Or Greater Indirect Ownership Interest Jun 21, 2018 25%
Corporate OfficerMember Jun 15, 2018
Kathryn Dorsey Individual Operational/Managerial Control Jan 9, 2025
Adp of the SNF Jan 9, 2025
Shaul Flank Individual 5% Or Greater Indirect Ownership Interest Jun 21, 2018 7.5%
Corporate OfficerMember Jun 15, 2018
Eitan Flank Individual 5% Or Greater Indirect Ownership Interest Jun 21, 2018 7.5%
Corporate OfficerManaging Member Jun 15, 2018
Operational/Managerial Control Jun 15, 2018
Adp of the SNF Jun 15, 2018
Daniel Shiller Individual Corporate OfficerCfo Jun 15, 2018
Adp of the SNF Jun 15, 2018
Matan Flank Individual 5% Or Greater Indirect Ownership Interest Jun 21, 2018 7.5%
Corporate OfficerMember Jun 15, 2018
Jayantilal Bhimani Individual Operational/Managerial Control Jul 8, 2020
Adp of the SNF Jul 8, 2020
Liat Flank Individual 5% Or Greater Indirect Ownership Interest Jun 21, 2018 7.5%
Corporate OfficerMember Jun 15, 2018
Julian Colonna Individual 5% Or Greater Indirect Ownership Interest Jun 21, 2018 25%
Corporate OfficerMember Jun 15, 2018
Mike Flank Trust Organization, Beachwood, OH Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Sep 9, 2022 12.5%
Adp of the SNF Sep 9, 2022
Progressive North Ridgeville Partners, LLC Organization, Lyndhurst, OH For-profit 5% Or Greater Direct Ownership Interest Jun 21, 2018 100%
Progressive Quality Care Inc Organization, Parma, OH Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Jun 15, 2018
Adp of the SNF May 13, 2025
Joel Sausen Individual 5% Or Greater Indirect Ownership Interest Jun 21, 2018 7.5%

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 2

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": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1396384194",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 LEAR NAGLE RD",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440393224",
            "telephone_number": "440-353-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE NORTH RIDGEVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "SHILLER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "440-684-9220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue at North Ridgeville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Ridgeville, OH

Sources for this page

Verify at the official NPI Registry.