Provider Demographics
NPI:1619658820
Name:HAPPY KIDS HOME HEALTH CARE AGENCY LLC
Entity Type:Organization
Organization Name:HAPPY KIDS HOME HEALTH CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOWERIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMATA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:781-266-8349
Mailing Address - Street 1:3003 MILDRED HILL LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77406-1797
Mailing Address - Country:US
Mailing Address - Phone:682-552-3389
Mailing Address - Fax:
Practice Address - Street 1:3003 MILDRED HILL LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1797
Practice Address - Country:US
Practice Address - Phone:682-552-3389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health