Provider Demographics
NPI:1013679232
Name:HAPPY HOME ASSISTED LIVING
Entity Type:Organization
Organization Name:HAPPY HOME ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISMAHAN
Authorized Official - Middle Name:YASIN
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:PROVIDER
Authorized Official - Phone:612-407-4735
Mailing Address - Street 1:2217 11TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-3805
Mailing Address - Country:US
Mailing Address - Phone:612-407-4735
Mailing Address - Fax:
Practice Address - Street 1:611 E FRANKLIN AVE # 31
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-2862
Practice Address - Country:US
Practice Address - Phone:612-407-4735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-06
Last Update Date:2021-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility