Provider Demographics
NPI:1487894440
Name:LIMA CONVALESCENT HOME FOUNDATION INC
Entity type:Organization
Organization Name:LIMA CONVALESCENT HOME FOUNDATION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRINKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-224-9741
Mailing Address - Street 1:1640 ALLENTOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805
Mailing Address - Country:US
Mailing Address - Phone:419-227-5450
Mailing Address - Fax:419-224-1131
Practice Address - Street 1:1640 ALLENTOWN ROAD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805
Practice Address - Country:US
Practice Address - Phone:419-227-5450
Practice Address - Fax:419-224-1131
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LIMA CONVALESCENT HOME FOUNDATION INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-03-03
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5185310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility