Provider Demographics
NPI:1558006676
Name:HAPPY HOMECARE MISSISSIPPI LLC
Entity Type:Organization
Organization Name:HAPPY HOMECARE MISSISSIPPI LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:KAREN MITCHELL
Authorized Official - Phone:512-239-8415
Mailing Address - Street 1:1890 CULKIN RD
Mailing Address - Street 2:
Mailing Address - City:VICKSBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39183-8158
Mailing Address - Country:US
Mailing Address - Phone:512-239-8415
Mailing Address - Fax:
Practice Address - Street 1:1890 CULKIN RD
Practice Address - Street 2:
Practice Address - City:VICKSBURG
Practice Address - State:MS
Practice Address - Zip Code:39183-8158
Practice Address - Country:US
Practice Address - Phone:512-239-8415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-03
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty