PROGRESSIVE PARMA CARE CENTER LLC
Skilled Nursing Facility
Parma, Ohio
Provider NPI: 1871596288
Organization Information:Organization Name: PROGRESSIVE PARMA CARE CENTER LLC
Practice Location:
5553 BROADVIEW RD PARMA, OH 44134 US
Tel: 216-661-6800 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
5553 BROADVIEW RD PARMA, OH 44134 US
Tel: 216-661-6800 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | OH | 1474 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2438099 | OH | 05 | |
ANTHEM BC/BS | 000000324704 | OH | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin