Healthcare Provider Details

I. General information

NPI: 1487668455
Provider Name (Legal Business Name): HCF OF LIMA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 10/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 BROWER RD
LIMA OH
45801-2515
US

IV. Provider business mailing address

750 BROWER RD
LIMA OH
45801-2515
US

V. Phone/Fax

Practice location:
  • Phone: 419-227-2611
  • Fax: 419-227-1392
Mailing address:
  • Phone: 419-227-2611
  • Fax: 419-227-1392

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1550N
License Number StateOH

VIII. Authorized Official

Name: MR. RYAN STECHSCHULTE
Title or Position: DIRECTOR - CORPORATE COMPLIANCE
Credential:
Phone: 419-999-2010