Organization
PROGRESSIVE GREEN MEADOWS, LLC
Active
Other names
Green Meadows Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL SHILLER (DIRECTOR OF FINANCE)
(440) 684-9220
Entity
Organization
Contact information
Practice address
7770 COLUMBUS RD NE, LOUISVILLE, OH 44641-9773
(732) 674-0589
Mailing address
7770 COLUMBUS RD NE, LOUISVILLE, OH 44641-9773
(732) 674-0589
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2298N
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000299600
ANTHEM
OH
05
—
2303046
—
OH
01
—
31-1504075.179
MEDICAL MUTUAL
OH
Enumeration date
05/31/2005
Last updated
05/15/2025
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