Provider Demographics
NPI:1255173068
Name:SRX HOME CARE LLC, DBA HAPPIER AT HOME
Entity type:Organization
Organization Name:SRX HOME CARE LLC, DBA HAPPIER AT HOME
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:CPHT
Authorized Official - Phone:319-461-5396
Mailing Address - Street 1:PO BOX 188
Mailing Address - Street 2:
Mailing Address - City:FAYETTE
Mailing Address - State:IA
Mailing Address - Zip Code:52142-0188
Mailing Address - Country:US
Mailing Address - Phone:563-412-9918
Mailing Address - Fax:
Practice Address - Street 1:246 S MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:FAYETTE
Practice Address - State:IA
Practice Address - Zip Code:52142-7652
Practice Address - Country:US
Practice Address - Phone:563-412-9918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-11
Last Update Date:2024-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty