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 |