Provider Demographics
NPI:1477329282
Name:HAPPY LIFE HOME CARE LLC
Entity Type:Organization
Organization Name:HAPPY LIFE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RUDINA
Authorized Official - Middle Name:D
Authorized Official - Last Name:ABAZAJ
Authorized Official - Suffix:
Authorized Official - Credentials:HOME CARE AGENCY
Authorized Official - Phone:248-275-3589
Mailing Address - Street 1:3292 CHERRY CREEK LN
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48314-1024
Mailing Address - Country:US
Mailing Address - Phone:248-275-3589
Mailing Address - Fax:
Practice Address - Street 1:3292 CHERRY CREEK LN
Practice Address - Street 2:
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-1024
Practice Address - Country:US
Practice Address - Phone:248-275-3589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-01
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health