Provider Demographics
NPI: | 1790854768 |
---|---|
Name: | HOME HEALTH CONNECTION, INC. |
Entity Type: | Organization |
Organization Name: | HOME HEALTH CONNECTION, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MR |
Authorized Official - First Name: | SHAWN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | MAFI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 614-839-4545 |
Mailing Address - Street 1: | 3062 COLUMBUS LANCASTER RD NW |
Mailing Address - Street 2: | |
Mailing Address - City: | LANCASTER |
Mailing Address - State: | OH |
Mailing Address - Zip Code: | 43130-8126 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 614-839-4545 |
Mailing Address - Fax: | 614-334-1731 |
Practice Address - Street 1: | 6797 N HIGH ST |
Practice Address - Street 2: | SUITE 113 |
Practice Address - City: | WORTHINGTON |
Practice Address - State: | OH |
Practice Address - Zip Code: | 43085-2533 |
Practice Address - Country: | US |
Practice Address - Phone: | 614-839-4545 |
Practice Address - Fax: | 614-540-1088 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2006-11-06 |
Last Update Date: | 2022-11-11 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251E00000X | Agencies | Home Health |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
OH | 2544545 | Medicaid | |
OH | 2544545 | Medicaid |