Provider Demographics
NPI:1669006201
Name:HAPPY KIDS PEDIATRIC HOUSECALLS
Entity Type:Organization
Organization Name:HAPPY KIDS PEDIATRIC HOUSECALLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANKITA
Authorized Official - Middle Name:ANKITA
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:215-666-3727
Mailing Address - Street 1:219 IVY STONE DR
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-7386
Mailing Address - Country:US
Mailing Address - Phone:215-666-3727
Mailing Address - Fax:
Practice Address - Street 1:219 IVY STONE DR
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-7386
Practice Address - Country:US
Practice Address - Phone:215-666-3727
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-22
Last Update Date:2020-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health