Provider Demographics
NPI:1982815122
Name:MISSOURI HAPPY HOMES
Entity Type:Organization
Organization Name:MISSOURI HAPPY HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN AND CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEOFFREY
Authorized Official - Middle Name:SANKALE
Authorized Official - Last Name:SOYIANTET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-838-3359
Mailing Address - Street 1:375 VERSAILLES DR
Mailing Address - Street 2:
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63031-2166
Mailing Address - Country:US
Mailing Address - Phone:314-838-3359
Mailing Address - Fax:
Practice Address - Street 1:375 VERSAILLES DR
Practice Address - Street 2:
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63031-2166
Practice Address - Country:US
Practice Address - Phone:314-838-3359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health