Provider Demographics
NPI:1356050280
Name:HAPPY HOME CARE LLC
Entity type:Organization
Organization Name:HAPPY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-414-0326
Mailing Address - Street 1:1064 FAIRVIEW LN
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-1636
Mailing Address - Country:US
Mailing Address - Phone:201-414-0326
Mailing Address - Fax:
Practice Address - Street 1:1605 JOHN ST STE 205A
Practice Address - Street 2:
Practice Address - City:FORT LEE
Practice Address - State:NJ
Practice Address - Zip Code:07024-2581
Practice Address - Country:US
Practice Address - Phone:201-414-0326
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJHP0340800OtherLICENSE NUMBER PROVIDED BY DIVISION OF CONSUMER AFFAIRS FOR HOME CARE SERVICES