Progressive Pines LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

36D0667271 Issued in OH

Legal business name

PROGRESSIVE PINES LLC

Practice address

1552 N Honeytown Rd
Wooster, OH 44691-9511

Phone

(330) 264-0912

NPI assigned

Jun 24, 2008

Organization subpart

Yes

Parent organization

PROGRESSIVE QUALITY CAREAs reported in NPPES

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

Authorized official

Name

Mr. Shaul Flank

Title

Chief Operating Officer

Phone

(216) 661-6800

Specialties & licenses 1

Addresses

Other names 1

• Glendora - Laboratory Doing business as

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

CLIA laboratory certificates

Tax ID family

Glendora - Laboratory2 organizations share this tax ID, including this one

Part of

Progressive Quality Care Inc

Other organizations with this tax ID 1

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

• Progressive Pines, LLC

  • Skilled Nursing Facility
  • Wooster, OH
  • NPI 1710980024
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Progressive Quality Care Inc

  • Durable Medical Equipment & Medical Supplies
  • Louisville, OH
  • NPI 1841323979
  NPPES parent name

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1497916274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 N HONEYTOWN RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446919511",
            "telephone_number": "330-264-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 N HONEYTOWN RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446919511",
            "telephone_number": "330-264-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE PINES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROGRESSIVE QUALITY CARE",
        "enumeration_date": "2008-06-24",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "FLANK",
        "authorized_official_first_name": "SHAUL",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "216-661-6800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OH",
            "license": "36D0667271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glendora - Laboratory",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas R. Princehorn, MSW, LISW-S
• Heather Elaine Pringle, LSW
• Natasha Pritchett, CDCA
• Juan Miguel Proano, M.D.
• Professional Counseling Associates, LLC
• Progressive Pines, LLC
• Progressive Wooster LLC
• Progressive Wooster LLC
• Jennifer Prosser, COTA
• Bethany Proudfoot, DSW, LNHA, LSW

• Clinical Medical Laboratory in Wooster, OH
• Providers in Wooster, OH by specialty
• Clinical Medical Laboratory in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.