Organization Active NPI

Healthy Connections LLC

Doing business as Healthy Connection Developmental Disabilities Services

  • Developmentally Disabled Services Day Training Agency
  • Worthington, OH
National Provider Identifier
1457361248
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
HEALTHY CONNECTIONS LLC
Doing business as
Healthy Connection Developmental Disabilities Services
Practice address
404 E Wilson Bridge Rd Ste a
Worthington, OH 43085-2369
Phone
(614) 897-6853
Fax
(614) 944-4345
NPI assigned
Aug 8, 2006
Last updated
Sep 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Michael MakebaNPI 1770641417
Title
Ceo
Phone
(614) 897-6853

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X OH Primary
Home Health Agency 251E00000X NU
Secured Medical Transport (VAN) 343800000X OH
Non-emergency Medical Transport (VAN) 343900000X OH
Bus 347B00000X OH

Addresses

Primary practice location

404 E Wilson Bridge Rd Ste a
Worthington, OH 43085-2369

Mailing address

PO Box 1003
Worthington, OH 43085-1003
Phone (614) 897-6853

Other practice location 1

4200 Regent St
Columbus, OH 43219-6229
Phone (614) 897-6853

Other identifiers 4

IdentifierTypeStateIssuer
3147651MedicaidOH
3103671MedicaidOH
HC1583MedicaidOH
3040926MedicaidOH

Other names 1

  • Healthy Connection Developmental Disabilities Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healthy Connection Developmental Disabilities Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4200 Regent St
Columbus, OH 43219
Phone (614) 596-4830

1329 Cherry Way Dr
Ste 600
Gahanna, OH 43230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725321600000",
    "number": "1457361248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1003",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430851003",
            "telephone_number": "614-897-6853",
            "fax_number": "614-532-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 E WILSON BRIDGE RD STE A",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430852369",
            "telephone_number": "614-897-6853",
            "fax_number": "614-944-4345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4200 Regent St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432196229",
            "country_code": "US",
            "telephone_number": "614-897-6853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTHY CONNECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "MAKEBA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-897-6853",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3147651",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3103671",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HC1583",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3040926",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Connection Developmental Disabilities Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthy Connection Developmental Disabilities Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.