Provider Demographics
NPI:1588552178
Name:MAK GROUP HOME INC
Entity type:Organization
Organization Name:MAK GROUP HOME INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:FARAHIO
Authorized Official - Middle Name:KHADAR
Authorized Official - Last Name:YUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:HOME HEALTH CARE
Authorized Official - Phone:614-439-0493
Mailing Address - Street 1:65 E WILSON BRIDE RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085
Mailing Address - Country:US
Mailing Address - Phone:614-439-0493
Mailing Address - Fax:
Practice Address - Street 1:65 E WILSON BRIDGE RD STE 302
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2704
Practice Address - Country:US
Practice Address - Phone:614-439-0493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health