Provider Demographics
NPI:1972900447
Name:HAPPIER LOVED ONES
Entity Type:Organization
Organization Name:HAPPIER LOVED ONES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEELIN
Authorized Official - Middle Name:JAFARI
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-208-2249
Mailing Address - Street 1:1508 MCCROSKEY AVE
Mailing Address - Street 2:APT 508
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917-4750
Mailing Address - Country:US
Mailing Address - Phone:865-208-2249
Mailing Address - Fax:
Practice Address - Street 1:1508 MCCROSKEY AVE
Practice Address - Street 2:APT 508
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-4750
Practice Address - Country:US
Practice Address - Phone:865-208-2249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-29
Last Update Date:2014-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care