Pgn Op Park LLC
NPI 1063026755ActiveOrganization· Skilled Nursing Facility· Edgerton, OH
Skilled Nursing Facility in Edgerton, Ohio, registered in NPPES in September 2020. The authorized official on file is Samuel Goldner, Authorized Official.
Overview
| NPI | 1063026755 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 1, 2020 |
| Last updated in NPPES | Sep 1, 2020 |
| Certified by provider | Sep 1, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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