Provider Demographics
NPI:1538505623
Name:HAPPY LIFE HOME HEALTH AGENCY INC
Entity type:Organization
Organization Name:HAPPY LIFE HOME HEALTH AGENCY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:PAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:914-602-6561
Mailing Address - Street 1:2823 THIRD AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455
Mailing Address - Country:US
Mailing Address - Phone:646-810-9265
Mailing Address - Fax:646-547-1075
Practice Address - Street 1:2823 THIRD AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455
Practice Address - Country:US
Practice Address - Phone:646-810-9265
Practice Address - Fax:646-547-1075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-15
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05978423Medicaid