MEDICARE: PROGRESSIVE QUALITY CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BN1400X	Nursing Facility Supplies (DME)	4507270001	OH
2	332BP3500X	Parenteral & Enteral Nutrition Supplies (DME)	450727001	OH
3	332BX2000X	Oxygen Equipment & Supplies (DME)	4507270001	OH
4	335E00000X	Prosthetic/Orthotic Supplier
5	332B00000X	Durable Medical Equipment & Medical Supplies	4507270001	OH

General Provider Information

NPI Number	:	1841323979
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROGRESSIVE QUALITY CARE INC

Provider Business Mailing Address
First Line	:	7770 COLUMBUS RD
Second Line	:
City	:	LOUISVILLE
State	:	OH
Zip	:	44641-9773
Country	:	US
Telephone Number	:	330-875-7866
Fax Number	:	330-875-7857

Provider Business Practice Location Address
First Line	:	7770 COLUMBUS RD
Second Line	:
City	:	LOUISVILLE
State	:	OH
Zip	:	44641-9773
Country	:	US
Telephone Number	:	330-875-7866
Fax Number	:	330-875-7857

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	MR. DANIEL SHILLER
Credential	:	CPA
Telephone Number	:	330-875-7866

Provider Enumeration Date	:	03/14/2007
Last Update Date	:	02/15/2012

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Directions to “PROGRESSIVE QUALITY CARE INC ” Practice Location

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