Provider Demographics
NPI:1750275814
Name:MACRINA LOVING HANDS
Entity type:Organization
Organization Name:MACRINA LOVING HANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:PELAGIE
Authorized Official - Middle Name:B
Authorized Official - Last Name:TANTAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-322-1060
Mailing Address - Street 1:4218 KINGSMOOR DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-3712
Mailing Address - Country:US
Mailing Address - Phone:419-322-1060
Mailing Address - Fax:
Practice Address - Street 1:4218 KINGSMOOR DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-3712
Practice Address - Country:US
Practice Address - Phone:419-322-1060
Practice Address - Fax:567-225-0490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health