Provider Demographics
NPI:1649710930
Name:HAPPY AT HOME-IN HOME CARE
Entity type:Organization
Organization Name:HAPPY AT HOME-IN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:OSWALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-782-0877
Mailing Address - Street 1:271 SUTHERLAND DR
Mailing Address - Street 2:
Mailing Address - City:VENETIA
Mailing Address - State:PA
Mailing Address - Zip Code:15367-2311
Mailing Address - Country:US
Mailing Address - Phone:724-782-0877
Mailing Address - Fax:724-427-7928
Practice Address - Street 1:271 SUTHERLAND DR
Practice Address - Street 2:
Practice Address - City:VENETIA
Practice Address - State:PA
Practice Address - Zip Code:15367-2311
Practice Address - Country:US
Practice Address - Phone:724-782-0877
Practice Address - Fax:724-427-7928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-06
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA25203601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1029227890001OtherPROVIDER IDENFICATION NUMBER - STATE WAIVER