Avenue At Medina

LBN: Progressive Medina Llc
Avenue At Medina is an health care organization with primary practice located at 699 E Smith Rd , Medina OH 44256-2639. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Progressive Medina Llc can be contacted via phone (216) 661-6800, or through Flank, Eitan via phone (440) 684-9220.

Contact Information

Primary practice address
699 E Smith Rd Medina OH 44256-2639
Fax: (216) 739-3789
Website:
Authorized official contact:
Name: Flank, Eitan

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X Ohio

Profile Details

NPI number 1205189313
LBN Legal business name Progressive Medina Llc
DBA Doing business as Avenue At Medina
Authorized official Flank, Eitan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2012
Last updated May 3rd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205189313 NPPES
Ohio MEDICAID 0080055

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