Provider Demographics
NPI:1457021313
Name:HAPPY ISLAND PPEC, LLC
Entity Type:Organization
Organization Name:HAPPY ISLAND PPEC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:PERNIA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:786-508-7897
Mailing Address - Street 1:755 NE 130TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-7526
Mailing Address - Country:US
Mailing Address - Phone:786-508-7897
Mailing Address - Fax:
Practice Address - Street 1:755 NE 130TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-7526
Practice Address - Country:US
Practice Address - Phone:786-508-7897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM3000XAmbulatory Health Care FacilitiesClinic/CenterMedically Fragile Infants and Children Day Care