Provider Demographics
NPI:1992863617
Name:MICHAEL MAKEBA
Entity Type:Organization
Organization Name:MICHAEL MAKEBA
Other - Org Name:HEALTHY CONNECTIONS LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKEBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-604-2899
Mailing Address - Street 1:1005 E LONG ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43203-1835
Mailing Address - Country:US
Mailing Address - Phone:614-604-2899
Mailing Address - Fax:
Practice Address - Street 1:1005 E LONG ST
Practice Address - Street 2:SUITE 3
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43203-1835
Practice Address - Country:US
Practice Address - Phone:614-604-2899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health