Legacy Hillsboro Operating Company, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

LEGACY HILLSBORO OPERATING COMPANY, LLC

Doing business as

Legacy Hillsboro

Practice address

1141 Northview Dr
Hillsboro, OH 45133-8525

Phone

(937) 393-5766

Fax

(937) 393-8740

NPI assigned

Mar 30, 2023

Organization subpart

No

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

Authorized official

Name

Jim Taylor

Title

Ceo

Phone

(440) 590-0969

Specialties & licenses 1

Addresses

Other names 1

• Legacy Hillsboro Doing business as

Practitioners 1

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

• David J Gunderman, MD

  • Family Medicine Physician
  • Washington Court House, OH
  • NPI 1508861246
  NPD (past)

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1619671740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12380 PLAZA DR",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441301043",
            "telephone_number": "216-898-8399",
            "fax_number": "216-898-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 NORTHVIEW DR",
            "city": "HILLSBORO",
            "state": "OH",
            "postal_code": "451338525",
            "telephone_number": "937-393-5766",
            "fax_number": "937-393-8740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HILLSBORO OPERATING COMPANY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-590-0969"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Hillsboro",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lesia J Langston-McKenna, DMD
• Laurel Health Care Company of Hillsboro
• Shelby T Lawson, INDEPENDENT PROVIDER
• Deana R Leach, LMT
• Jobeth E. B. Lee, M.D.
• Lisa Leininger
• Lesia Langston-McKenna, DMD, Inc.
• Lesia Langston-McKenna, DMD, Inc.
• Mary Christine Lewis, LSW, LPC
• Toni L Lewis, LPC

• Skilled Nursing Facility in Hillsboro, OH
• Providers in Hillsboro, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.