Organization Active NPI

KJC Legacy LLC

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Coventry Township, OH
National Provider Identifier
1942174735
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
Legal business name
KJC LEGACY LLC
Practice address
503 Portage Lakes Dr Ste 7
Coventry Township, OH 44319-2269
Phone
(330) 599-7316
Fax
(330) 599-7318
NPI assigned
Oct 3, 2025
Organization subpart
Yes
Parent organization
KJC LEGACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Kelly Merrie MeiserNPI 1285358150
Title
Owner, Administrator
Phone
(330) 599-7316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QH0002X Primary

Addresses

Primary practice location

503 Portage Lakes Dr Ste 7
Coventry Township, OH 44319-2269

Mailing address

503 Portage Lakes Dr Ste 7
Coventry Township, OH 44319-2269
Phone (330) 599-7316

National Provider Directory

National Provider Directory
Tax ID family
KJC Legacy KKC2 organizations share this tax ID, including this one
Part of
KJC Legacy KKC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1942174735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 PORTAGE LAKES DR STE 7",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443192269",
            "telephone_number": "330-599-7316",
            "fax_number": "330-599-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 PORTAGE LAKES DR STE 7",
            "city": "COVENTRY TOWNSHIP",
            "state": "OH",
            "postal_code": "443192269",
            "telephone_number": "330-599-7316",
            "fax_number": "330-599-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJC LEGACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KJC LEGACY LLC",
        "enumeration_date": "2025-10-03",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "MEISER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "MERRIE",
        "authorized_official_title_or_position": "OWNER, ADMINISTRATOR",
        "authorized_official_telephone_number": "330-599-7316"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coventry Township, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.