Healthcare Provider Details

I. General information

NPI: 1457361248
Provider Name (Legal Business Name): HEALTHY CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 09/03/2024
Certification Date: 09/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 E WILSON BRIDGE RD STE A
WORTHINGTON OH
43085-2369
US

IV. Provider business mailing address

PO BOX 1003
WORTHINGTON OH
43085-1003
US

V. Phone/Fax

Practice location:
  • Phone: 614-897-6853
  • Fax: 614-944-4345
Mailing address:
  • Phone: 614-897-6853
  • Fax: 614-532-8557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number StateOH
# 5
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateOH

VIII. Authorized Official

Name: MR. MICHAEL MAKEBA
Title or Position: CEO
Credential:
Phone: 614-897-6853