NPIMap

Organization Active NPI

Progressive Broadview Heights LLC

Doing business as Avenue at Broadview Heights

  • Skilled Nursing Facility
  • Broadview Heights, OH
National Provider Identifier
1609343177
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 BROADVIEW HEIGHTS LLC
Doing business as
Avenue at Broadview Heights
Practice address
1201 Akins Rd
Broadview Heights, OH 44147-2311
Phone
(440) 457-2900
NPI assigned
Nov 1, 2018
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. Dan Shiller, CPA
Title
Cfo
Phone
(440) 684-9220

Specialties & licenses 1

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

Addresses

Primary practice location

1201 Akins Rd
Broadview Heights, OH 44147-2311

Mailing address

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

Other names 1

  • Avenue at Broadview Heights Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181127003256 OH Part A Provider - Skilled Nursing Facility 4587908819 Practice locations: Broadview Heights, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1609343177. Details of each certification follow.

Skilled nursing facility certification: CCN 366471

Legal name
PROGRESSIVE BROADVIEW HEIGHTS LLC
Doing business as
AVENUE AT BROADVIEW HEIGHTS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 23, 2019
Last certification
Nov 7, 2024
Beds
78
Ownership / control type
Corporation
Multi-facility organization
Progressive Quality Care
Organization structure
LLCProprietary
Incorporated
Dec 17, 2015 in OH
Enrollment address
1201 Akins Rd
Broadview Heights, OH 44147-2311
Nursing home name
AVENUE AT BROADVIEW HEIGHTS
Affiliated entity
PROGRESSIVE QUALITY CARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Avenue at Broadview HeightsCCN 366471 · 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
Aug 23, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7855.4 residents per day on average
Chain
Progressive Quality Care11 facilities in the chain
Penalties (3 years)
1Fines totaling $0

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
36D2166920Avenue at Broadview Heights1201 Akins Rd, Broadview Heights, OH 44147Certificate of waiverMay 28, 2027

National Provider Directory

National Provider Directory

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 Dec 17, 2015 45%
Adp of the SNF Dec 17, 2015
Dawn Barbour Individual Operational/Managerial Control Jul 8, 2024
Adp of the SNF Jul 8, 2024
Shaul Flank Individual 5% Or Greater Indirect Ownership Interest Jun 10, 2022 7.5%
Corporate OfficerVice President Dec 17, 2015
Adp of the SNF Jun 10, 2022
Eitan Flank Individual 5% Or Greater Indirect Ownership Interest Jun 10, 2022 7.5%
Corporate OfficerPresident Dec 17, 2015
Adp of the SNF Dec 17, 2015
Daniel Shiller Individual Corporate OfficerCfo Jun 24, 2016
Adp of the SNF Jun 24, 2016
Matan Flank Individual 5% Or Greater Indirect Ownership Interest Jun 10, 2022 7.5%
Corporate OfficerVice President Dec 17, 2015
Adp of the SNF Jun 10, 2022
Liat Flank Individual 5% Or Greater Indirect Ownership Interest Jun 10, 2022 7.5%
Corporate OfficerVice President Dec 17, 2015
Adp of the SNF Jun 10, 2022
Julian Colonna Individual 5% Or Greater Indirect Ownership Interest Dec 17, 2015 5%
Adp of the SNF Dec 17, 2015
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 Dec 30, 2024
Thomas E Mandat Individual Operational/Managerial Control Jun 10, 2020
Adp of the SNF Jun 1, 2020
Progressive Broadview Heights Partners, LLC Organization, Lyndhurst, OH For-profit 5% Or Greater Direct Ownership Interest Jun 24, 2016 100%
Progressive Quality Care Inc Organization, Lyndhurst, OH Corporation, Management services company, For-profit, Chain home office Operational/Managerial Control Jun 24, 2018
Adp of the SNF Nov 14, 2024
Joel Sausen Individual 5% Or Greater Indirect Ownership Interest Jun 10, 2022 7.5%
Corporate OfficerVice President Dec 17, 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 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 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": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1609343177",
    "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": "1201 AKINS RD",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441472311",
            "telephone_number": "440-457-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE BROADVIEW HEIGHTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "SHILLER",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "440-684-9220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avenue at Broadview Heights",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avenue at Broadview Heights",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Broadview Heights, OH

Sources for this page

Verify at the official NPI Registry.