AVENUE AT LYNDHURST
NPI 1174117824
Skilled Nursing Facility in Lyndhurst, OH

Active since February 23, 2021CLIA 36D2221635 · Waiver
5442 RAE RD, LYNDHURST, OH 44124(440) 684-8448 Get Directions Write a Review

NPPES record last updated: May 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 3, 2021, Feb 23, 2021 (2 updates tracked since 2021).

About Avenue At Lyndhurst NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVENUE AT LYNDHURST (NPI 1174117824) is a healthcare organization registered as a skilled nursing facility in Lyndhurst, Ohio and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through April 21, 2027 and lists Dan Shiller, Cfo, as its authorized official.

NPPES Registry Identity

NPI1174117824
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePROGRESSIVE LYNDHURST LLC
Location Address5442 RAE RDLyndhurst, OH 44124-1342
Mailing Address5553 Broadview RdParma, OH 44134-1604 · (216) 661-6800 · Fax (440) 551-2881
Organization SubpartNo
Authorized OfficialDan ShillerCfo · (440) 684-9220
Enumeration DateFebruary 23, 2021
Last NPPES UpdateMay 3, 20212 updates tracked since enumeration
NPPES CertifiedMay 3, 2021
NPI 1174117824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedAssisted Living FacilityTaxonomy 310400000X
5442 RAE RD, Lyndhurst, OH 44124

Other Names 1

Doing Business AsAvenue At Lyndhurst

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2221635

Avenue At Lyndhurst · Lyndhurst, OH
Active · expires Apr 21, 2027
CLIA Number36D2221635
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorWilliam Meyer
Laboratory Phone(440) 646-8448
Laboratory LocationAvenue At Lyndhurst5442 Rae Rd, Lyndhurst, OH 44124
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Assisted Living Facility
5442 RAE RD
LYNDHURST, OH 44124
Non-emergency Medical Transport (VAN)
5442 RAE RD
LYNDHURST, OH 44124

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Progressive Lyndhurst LLC's NPI number?

The NPI number for Progressive Lyndhurst LLC is 1174117824. It was assigned to this organization in the NPPES registry on February 23, 2021. The provider is doing business as Avenue At Lyndhurst.

Where is Progressive Lyndhurst LLC located?

Progressive Lyndhurst LLC is located at 5442 Rae Rd, Lyndhurst, OH 44124. The listed phone number is (440) 684-8448.

What is Progressive Lyndhurst LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Progressive Lyndhurst LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2221635) is associated with this NPI, valid through April 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Progressive Lyndhurst LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Progressive Lyndhurst LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Progressive Lyndhurst LLC was last updated on May 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.