Healthcare Provider Details

I. General information

NPI: 1821938275
Provider Name (Legal Business Name): MAKEITHAPPEN411
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 FREDERICK ST
BELLEVILLE NJ
07109-1106
US

IV. Provider business mailing address

24 FREDERICK ST
BELLEVILLE NJ
07109-1106
US

V. Phone/Fax

Practice location:
  • Phone: 201-456-9636
  • Fax:
Mailing address:
  • Phone: 201-456-9636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name: MS. MARIA NATAL
Title or Position: CEO
Credential:
Phone: 201-456-9636