Provider Demographics
NPI:1841323979
Name:PROGRESSIVE QUALITY CARE INC
Entity type:Organization
Organization Name:PROGRESSIVE QUALITY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE
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:330-875-7866
Mailing Address - Street 1:7770 COLUMBUS RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44641-9773
Mailing Address - Country:US
Mailing Address - Phone:330-875-7866
Mailing Address - Fax:330-875-7857
Practice Address - Street 1:7770 COLUMBUS RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:OH
Practice Address - Zip Code:44641-9773
Practice Address - Country:US
Practice Address - Phone:330-875-7866
Practice Address - Fax:330-875-7857
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4507270001332BN1400X, 332BX2000X, 332B00000X
OH450727001332BP3500X
335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
No332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
No335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4507270001Medicare NSC