Healthcare Provider Details

I. General information

NPI: 1245239862
Provider Name (Legal Business Name): THE MACINTOSH COMPANY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2005
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3929 HOOVER RD
GROVE CITY OH
43123-2853
US

IV. Provider business mailing address

3929 HOOVER RD
GROVE CITY OH
43123-2853
US

V. Phone/Fax

Practice location:
  • Phone: 614-875-7700
  • Fax: 614-875-1321
Mailing address:
  • Phone: 614-875-7700
  • Fax: 614-875-1321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number4576
License Number StateOH

VIII. Authorized Official

Name: MARSHA LINK
Title or Position: ADMINISTRATOR
Credential:
Phone: 614-875-7700