Provider Demographics
NPI:1669475968
Name:PROGRESSIVE MORNING CARE LLC
Entity type:Organization
Organization Name:PROGRESSIVE MORNING CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:ISAAK
Authorized Official - Middle Name:
Authorized Official - Last Name:MARKOVITS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-448-6200
Mailing Address - Street 1:2594 E HIGH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-6737
Mailing Address - Country:US
Mailing Address - Phone:216-661-6800
Mailing Address - Fax:216-739-3789
Practice Address - Street 1:2594 E HIGH AVE
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-6737
Practice Address - Country:US
Practice Address - Phone:216-661-6800
Practice Address - Fax:216-739-3789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6107314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000251692OtherANTHEM BC/BS
OH2262706Medicaid
OH311504075.274OtherMEDICAL MUTUAL
OH311504075.274OtherMEDICAL MUTUAL