Provider Demographics
NPI:1346541588
Name:TANDOH HEALTH CARE SERVICES, LLC
Entity Type:Organization
Organization Name:TANDOH HEALTH CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:
Authorized Official - Last Name:TANDOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-386-6703
Mailing Address - Street 1:709 S BYRNE RD STE 8
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43609-1048
Mailing Address - Country:US
Mailing Address - Phone:419-534-6077
Mailing Address - Fax:419-534-6377
Practice Address - Street 1:709 S BYRNE RD STE 8
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43609-1048
Practice Address - Country:US
Practice Address - Phone:419-534-6077
Practice Address - Fax:419-534-6377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-04
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4805474253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3112698Medicaid