Provider Demographics
NPI:1487955449
Name:HAPPY HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:HAPPY HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CHUY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-469-3637
Mailing Address - Street 1:2511 NW 153RD ST
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054-2739
Mailing Address - Country:US
Mailing Address - Phone:305-469-3637
Mailing Address - Fax:
Practice Address - Street 1:2511 NW 153RD ST
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-2739
Practice Address - Country:US
Practice Address - Phone:305-469-3637
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2010-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL-11503310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL001554100Medicaid