MEDICARE: MAKRIDIS LEARNING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103K00000X	Behavior Analyst
2	172A00000X	Driver
3	172V00000X	Community Health Worker
4	251E00000X	Home Health Agency
5	251X00000X	Supports Brokerage Agency
6	253Z00000X	In Home Supportive Care Agency
7	343900000X	Non-emergency Medical Transport (VAN)
8	347C00000X	Private Vehicle
9	3747P1801X	Personal Care Attendant
10	374U00000X	Home Health Aide
11	376J00000X	Homemaker
12	385H00000X	Respite Care
13	385HR2055X	Child Mental Illness Respite Care
14	372500000X	Chore Provider

General Provider Information

NPI Number	:	1306600036
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAKRIDIS LEARNING, LLC

Provider Business Mailing Address
First Line	:	2920 HAMPSHIRE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43209-2651
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2920 HAMPSHIRE RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43209-2651
Country	:	US
Telephone Number	:	937-269-1679
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DIMITRIOS V. MAKRIDIS
Credential	:
Telephone Number	:	937-470-5092

Provider Enumeration Date	:	02/13/2024
Last Update Date	:	02/13/2024

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Directions to “MAKRIDIS LEARNING, LLC ” Practice Location

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