MEDICARE: LEGACY HOSPICE, 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	251G00000X	Community Based Hospice Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710504329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEGACY HOSPICE, INC.

Provider Business Mailing Address
First Line	:	1100 SHAWNEE RD
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45805-3529
Country	:	US
Telephone Number	:	419-999-2010
Fax Number	:	419-999-6284

Provider Business Practice Location Address
First Line	:	2615 FORT AMANDA RD
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45804-3704
Country	:	US
Telephone Number	:	419-999-2010
Fax Number	:	419-999-6284

Authorized Official
Title or Position	:	VICE PRESIDENT - FIANANCE & CFO
Name	:	CHAD M. UNVERFERTH
Credential	:
Telephone Number	:	419-999-2010

Provider Enumeration Date	:	06/30/2020
Last Update Date	:	07/10/2023

Similar Medicare Providers

1306086400 — HHCS, INC.
Practice Location Address:

2615 FORT AMANDA RD STE A
LIMA, OH
45804-3704

Practice Phone: 419-999-2010
Practice Fax: 419-999-6284

1083407852 — JOSHUA ERIC BISHOP PA-C
Practice Location Address:

1003 BELLEFONTAINE AVE STE 200
LIMA, OH
45804-1803

Practice Phone: 419-227-7702
Practice Fax:

1306658885 — JAYLA M BALBAUGH
Practice Location Address:

1003 BELLEFONTAINE AVE STE 125
LIMA, OH
45804-1867

Practice Phone: 419-998-8207
Practice Fax:

1114978244 — LIMA MEMORIAL PROFESSIONAL CORPORATION
Practice Location Address:

1005 BELLEFONTAINE AVE STE 345
LIMA, OH
45804-2886

Practice Phone: 419-229-3362
Practice Fax: 419-229-8258

1669324539 — YASCHICA SECESSION
Practice Location Address:

1053 HUGHES AVE
LIMA, OH
45804-2037

Practice Phone: 419-234-5858
Practice Fax:

1407649940 — CONNOR MATTHEW KROUSE
Practice Location Address:

801 MEDICAL DR STE A
LIMA, OH
45804-4030

Practice Phone: 419-222-6622
Practice Fax: 419-224-0015

Directions to “LEGACY HOSPICE, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.