Provider Demographics
NPI:1760129696
Name:HAPPY HEART HEALTHCARE SERVICES, LLC
Entity Type:Organization
Organization Name:HAPPY HEART HEALTHCARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:P
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:DNP,CRNA
Authorized Official - Phone:601-604-0043
Mailing Address - Street 1:134 CAMDEN XING
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:MS
Mailing Address - Zip Code:39110-4116
Mailing Address - Country:US
Mailing Address - Phone:601-604-0043
Mailing Address - Fax:
Practice Address - Street 1:134 CAMDEN XING
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:MS
Practice Address - Zip Code:39110-4116
Practice Address - Country:US
Practice Address - Phone:601-604-0043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health