Provider Demographics
NPI:1457361248
Name:HEALTHY CONNECTIONS LLC
Entity Type:Organization
Organization Name:HEALTHY CONNECTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR CEO
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:614-532-8553
Mailing Address - Street 1:1329 CHERRY WAY DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-6777
Mailing Address - Country:US
Mailing Address - Phone:614-532-8553
Mailing Address - Fax:614-532-8557
Practice Address - Street 1:1329 CHERRY WAY DR
Practice Address - Street 2:SUITE 600
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-6777
Practice Address - Country:US
Practice Address - Phone:614-532-8553
Practice Address - Fax:614-532-8557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251C00000X, 343800000X, 343900000X, 347B00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347B00000XTransportation ServicesBus
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3147651Medicaid
OH3103671Medicaid
OH3040926Medicaid
OHHC1583Medicaid
OH3040926Medicaid