Provider Demographics
NPI:1679957583
Name:HEALTHY CONNECTIONS LLC
Entity type:Organization
Organization Name:HEALTHY CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKEBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-597-6853
Mailing Address - Street 1:PO BOX 1003
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-1003
Mailing Address - Country:US
Mailing Address - Phone:614-897-6853
Mailing Address - Fax:614-246-2029
Practice Address - Street 1:404 E WILSON BRIDGE RD STE A
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2369
Practice Address - Country:US
Practice Address - Phone:614-897-6853
Practice Address - Fax:614-246-2029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-10
Last Update Date:2024-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3040926Medicaid