Provider Demographics
NPI:1942195961
Name:HCC CONNECTION LLC
Entity type:Organization
Organization Name:HCC CONNECTION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOVON
Authorized Official - Middle Name:C
Authorized Official - Last Name:BURKES
Authorized Official - Suffix:
Authorized Official - Credentials:LLPC
Authorized Official - Phone:630-487-0813
Mailing Address - Street 1:8200 E JEFFERSON AVE APT 201
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214-2663
Mailing Address - Country:US
Mailing Address - Phone:630-487-0813
Mailing Address - Fax:
Practice Address - Street 1:97 CALIFORNIA ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:MI
Practice Address - Zip Code:48203-3517
Practice Address - Country:US
Practice Address - Phone:630-487-0813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility