Provider Demographics
NPI:1124475421
Name:HAPPIER LIVING HOME CARE
Entity type:Organization
Organization Name:HAPPIER LIVING HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:INTANRAM
Authorized Official - Middle Name:CHAY
Authorized Official - Last Name:MAROMPHN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:267-368-2469
Mailing Address - Street 1:913 LINDLEY AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19141
Mailing Address - Country:US
Mailing Address - Phone:267-368-2469
Mailing Address - Fax:
Practice Address - Street 1:913 LINDLEY AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141
Practice Address - Country:US
Practice Address - Phone:267-368-2469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-17
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA30353601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA3035OtherMEDICARE NO.