=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033090717
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HCF OF FOSTORIA, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/10/2025
-----------------------------------------------------
Last Update Date | 09/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 25 CHRISTOPHER DR
-----------------------------------------------------
City | FOSTORIA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44830-3318
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-435-8112
-----------------------------------------------------
Fax | 419-435-6220
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1100 SHAWNEE RD
-----------------------------------------------------
City | LIMA
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45805-3583
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-234-9494
-----------------------------------------------------
Fax | 419-999-6284
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | VICE PRESIDENT - FINANCE & CFO
-----------------------------------------------------
Name | CHAD M UNVERFERTH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 419-999-2010
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 310400000X
-----------------------------------------------------
Taxonomy Name | Assisted Living Facility
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------