Organization Active NPI

Lima Memorial Joint Operating Company

  • Skilled Nursing Facility
  • Lima, OH
National Provider Identifier
1245235142
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
LIMA MEMORIAL JOINT OPERATING COMPANY
Practice address
1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone
(419) 226-5165
Fax
(419) 226-5128
NPI assigned
Jun 16, 2005
Organization subpart
Yes
Parent organization
LIMA MEMORIAL JOINT OPERATING COMPANYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. John T Fischbach
Title
Cfo
Phone
(419) 226-5163

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X OH Primary

Addresses

Primary practice location

1001 Bellefontaine Ave
Lima, OH 45804-2800

Mailing address

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 226-5165

Other identifiers 4

IdentifierTypeStateIssuer
PARAMOUNTOther05199
AETNAOther0021501
BLUE CROSS TCCOther000000293411
5184518MedicaidOH

Other names 1

  • LIMA MEMORIAL HEALTH SYSTEM Doing business as

National Provider Directory

National Provider Directory
Part of
Lima Memorial Joint Operating Company

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1245235142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-226-5165",
            "fax_number": "419-226-5128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-226-5165",
            "fax_number": "419-226-5128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMA MEMORIAL JOINT OPERATING COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIMA MEMORIAL JOINT OPERATING COMPANY",
        "enumeration_date": "2005-06-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FISCHBACH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "419-226-5163",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "05199",
            "identifier": "PARAMOUNT",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "0021501",
            "identifier": "AETNA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "000000293411",
            "identifier": "BLUE CROSS TCC",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5184518",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIMA MEMORIAL HEALTH SYSTEM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.