Provider Demographics
NPI:1841945714
Name:HEALTHY HOME INITIATIVE LLC
Entity type:Organization
Organization Name:HEALTHY HOME INITIATIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:SERGE
Authorized Official - Last Name:BEAUCEJOUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-367-3106
Mailing Address - Street 1:375 COMMON ST STE 109
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01840-1268
Mailing Address - Country:US
Mailing Address - Phone:845-367-3106
Mailing Address - Fax:
Practice Address - Street 1:375 COMMON ST STE 109
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1268
Practice Address - Country:US
Practice Address - Phone:845-367-3106
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-18
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health