Provider Demographics
NPI: | 1821502550 |
---|---|
Name: | HAPPY ADULT DAY CARE REHAB, LLC |
Entity Type: | Organization |
Organization Name: | HAPPY ADULT DAY CARE REHAB, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | ADMINISTRATOR |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | ANNU |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | JOSHI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | RN |
Authorized Official - Phone: | 954-531-3883 |
Mailing Address - Street 1: | 7546 NW 116TH LN |
Mailing Address - Street 2: | |
Mailing Address - City: | PARKLAND |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33076-4257 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 954-531-3883 |
Mailing Address - Fax: | 954-827-2935 |
Practice Address - Street 1: | 7463 W SAMPLE RD |
Practice Address - Street 2: | |
Practice Address - City: | CORAL SPRINGS |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33065 |
Practice Address - Country: | US |
Practice Address - Phone: | 954-531-3883 |
Practice Address - Fax: | 954-827-2935 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2017-11-16 |
Last Update Date: | 2018-05-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | 9411 | 261QA0600X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QA0600X | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care |