Provider Demographics
NPI:1154580181
Name:HAPPY HOMECARE STAFFING INC
Entity type:Organization
Organization Name:HAPPY HOMECARE STAFFING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LESA
Authorized Official - Middle Name:ANDREWS
Authorized Official - Last Name:KENDRICK
Authorized Official - Suffix:
Authorized Official - Credentials:MLT
Authorized Official - Phone:919-563-0129
Mailing Address - Street 1:6720 PENTECOST RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NC
Mailing Address - Zip Code:27231-9269
Mailing Address - Country:US
Mailing Address - Phone:919-563-0129
Mailing Address - Fax:919-304-0976
Practice Address - Street 1:6720 PENTECOST RD
Practice Address - Street 2:
Practice Address - City:CEDAR GROVE
Practice Address - State:NC
Practice Address - Zip Code:27231-9269
Practice Address - Country:US
Practice Address - Phone:919-563-0129
Practice Address - Fax:919-304-0976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3555251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3418316Medicaid