Healthcare Provider Details

I. General information

NPI: 1659385656
Provider Name (Legal Business Name): HCF OF SHAWNEE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 11/03/2025
Certification Date: 11/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2535 FORT AMANDA RD
LIMA OH
45804-3728
US

IV. Provider business mailing address

1100 SHAWNEE RD
LIMA OH
45805-3583
US

V. Phone/Fax

Practice location:
  • Phone: 419-999-2055
  • Fax: 419-999-2058
Mailing address:
  • Phone: 419-999-2010
  • Fax: 419-999-6284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number1642N
License Number StateOH

VIII. Authorized Official

Name: MRS. KERRI A. ROMES
Title or Position: PRESIDENT
Credential:
Phone: 419-999-2010