Provider Demographics
NPI:1790532349
Name:A MEANINGFUL CONNECTION LLC
Entity type:Organization
Organization Name:A MEANINGFUL CONNECTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:LEONNA
Authorized Official - Middle Name:TIERRA
Authorized Official - Last Name:JACKSON
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:419-870-9461
Mailing Address - Street 1:3454 OAK ALLEY CT STE 304
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1365
Mailing Address - Country:US
Mailing Address - Phone:419-870-9461
Mailing Address - Fax:567-429-0185
Practice Address - Street 1:3454 OAK ALLEY CT STE 304
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1365
Practice Address - Country:US
Practice Address - Phone:419-870-9461
Practice Address - Fax:567-429-0185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-01
Last Update Date:2024-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty