Provider Demographics
NPI:1962760207
Name:HAPPY HOME HOSPICE, INC.
Entity type:Organization
Organization Name:HAPPY HOME HOSPICE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-770-8886
Mailing Address - Street 1:5810 N LINCOLN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60659-4602
Mailing Address - Country:US
Mailing Address - Phone:773-770-8886
Mailing Address - Fax:773-290-1112
Practice Address - Street 1:5810 N LINCOLN AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60659-4602
Practice Address - Country:US
Practice Address - Phone:773-770-8886
Practice Address - Fax:773-290-1112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based