NPIMap

Organization Active NPI

Carecore at Lima LLC

  • Skilled Nursing Facility
  • Lima, OH
National Provider Identifier
1003476334
Registry record updated Jul 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
CARECORE AT LIMA LLC
Practice address
599 S Shawnee St
Lima, OH 45804-1461
Phone
(419) 227-2154
NPI assigned
Jun 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Eitan Laghaie, MBA
Title
VP of Business Office
Phone
(419) 227-2154

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

599 S Shawnee St
Lima, OH 45804-1461

Mailing address

599 S Shawnee St
Lima, OH 45804-1461
Phone (419) 227-2154

Other identifiers 1

IdentifierTypeStateIssuer
1351MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://carecorehealth.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190816001113 OH Part A Provider - Skilled Nursing Facility 1355678111 Practice locations: Lima, OH

Skilled nursing facility certification: CCN 365202

Legal name
CARECORE AT LIMA,LLC
Doing business as
CARECORE AT LIMA
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Oct 14, 1968
Last certification
Sep 26, 2024
Beds
88
Ownership / control type
Limited Liability Corporation
Multi-facility organization
CareCore Health
Most recent change of ownership
Jul 1, 2019
Organization structure
LLCProprietary
Enrollment address
599 S Shawnee St
Lima, OH 45804-1461
Nursing home name
CARECORE AT LIMA
Affiliated entity
CARECORE HEALTH

Care Compare: Nursing home

Medicare Care Compare
Listed as
Carecore at LimaCCN 365202
Overall star rating
3 of 5
Health inspections
2 of 5
Staffing
2 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Oct 14, 1968
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
8870.9 residents per day on average
Chain
Carecore Health10 facilities in the chain
Penalties (3 years)
1Fines totaling $33,534

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Lima Acres Realty, LLC Organization, Lima, OH LLC, For-profit Adp of the SNF Jul 1, 2019
Chaim Hertanu Individual 5% Or Greater Direct Ownership Interest Jul 1, 2019 50%
Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Customers Bank Organization, Malvern, PA Financial institution, For-profit 5% Or Greater Mortgage Interest Aug 14, 2020 75%
Vaughn Hopson Individual Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Salim W Hanna Individual Operational/Managerial Control Jan 1, 2025
Adp of the SNF Jan 1, 2025
Carecore Health LLC Organization, Suffern, NY LLC, Management services company, For-profit Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Joseph Hertanu Individual 5% Or Greater Direct Ownership Interest Jul 1, 2019 50%
Corporate OfficerManager Jul 1, 2019
Operational/Managerial Control Jul 1, 2019
Adp of the SNF Jul 1, 2019
Fasten Halberstam LLP Organization, New York, NY For-profit Adp of the SNF Jul 1, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563408000000",
    "number": "1003476334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 S SHAWNEE ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041461",
            "telephone_number": "419-227-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 S SHAWNEE ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458041461",
            "telephone_number": "419-227-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARECORE AT LIMA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-07-18",
        "status": "A",
        "authorized_official_last_name": "LAGHAIE",
        "authorized_official_first_name": "EITAN",
        "authorized_official_title_or_position": "VP OF BUSINESS OFFICE",
        "authorized_official_telephone_number": "419-227-2154",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1351",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://carecorehealth.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "599 S Shawnee St",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458041461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.