Provider Demographics
NPI:1568228013
Name:HAPPY SOULZ HOME HEALTH CARE, LLC
Entity Type:Organization
Organization Name:HAPPY SOULZ HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TRACI
Authorized Official - Middle Name:C
Authorized Official - Last Name:HANSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:757-639-7744
Mailing Address - Street 1:1637 MIDDLEBROOK LN
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-7976
Mailing Address - Country:US
Mailing Address - Phone:757-639-7744
Mailing Address - Fax:
Practice Address - Street 1:249 CENTRAL PARK AVE STE 300-16
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-3099
Practice Address - Country:US
Practice Address - Phone:757-639-7744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health