Provider Demographics
NPI:1346884897
Name:HAPPY HOME MEDICAL SUPPLY, LLC
Entity Type:Organization
Organization Name:HAPPY HOME MEDICAL SUPPLY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREY
Authorized Official - Middle Name:
Authorized Official - Last Name:UCHAYKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-351-8100
Mailing Address - Street 1:2239 HYLAN BLVD, STE 2B
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306
Mailing Address - Country:US
Mailing Address - Phone:718-351-8100
Mailing Address - Fax:718-351-8104
Practice Address - Street 1:2239 HYLAN BLVD, STE 2B
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306
Practice Address - Country:US
Practice Address - Phone:718-351-8100
Practice Address - Fax:718-351-8104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-28
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies