Provider Demographics
NPI:1174490908
Name:PROGRESSIVE BRIGHTON LLC
Entity type:Organization
Organization Name:PROGRESSIVE BRIGHTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHILLER
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:216-509-7095
Mailing Address - Street 1:5442 RAE RD
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-1342
Mailing Address - Country:US
Mailing Address - Phone:216-509-7095
Mailing Address - Fax:440-684-9245
Practice Address - Street 1:897 EAST16TH STREET
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423
Practice Address - Country:US
Practice Address - Phone:216-509-7095
Practice Address - Fax:440-684-9245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-17
Last Update Date:2025-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility