LEGACY HOSPICE INC. NPI 1710504329

NPI Information

NPI: 1710504329
Provider Name: LEGACY HOSPICE, INC.
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Address:
2615 FORT AMANDA RD
LIMA, OH
ZIP 45804
Phone: (419) 999-2010
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LEGACY HOSPICE, INC. is a hospice care community based in Lima, OH. LEGACY HOSPICE, INC. NPI is 1710504329. The provider is registered as an organization entity type.

The provider's business location address is:

2615 FORT AMANDA RD
LIMA, OH
ZIP 45804-704
Phone: (419) 999-2010
Fax: (419) 999-6284

The provider's authorized official is Chad M. Unverferth .
The authorized official title is Vice President - Fianance & Cfo and has the following contact phone number (419) 999-2010.

The enumeration date for this NPI number is 6/30/2020 and was last updated on 7/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251G00000X	Hospice Care, Community Based				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0469300	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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