MEDICARE: HAPPY HOMECARE STAFFING, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HC3555	NC

General Provider Information

NPI Number	:	1003985474
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY HOMECARE STAFFING, INC.

Provider Business Mailing Address
First Line	:	6720 PENTECOST RD
Second Line	:
City	:	CEDAR GROVE
State	:	NC
Zip	:	27231-9269
Country	:	US
Telephone Number	:	919-563-0129
Fax Number	:	919-304-0976

Provider Business Practice Location Address
First Line	:	6720 PENTECOST ROAD
Second Line	:
City	:	CEDAR GROVE
State	:	NC
Zip	:	27231-9269
Country	:	US
Telephone Number	:	919-563-0129
Fax Number	:	919-304-0976

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. LESA ANDREWS KENDRICK
Credential	:
Telephone Number	:	919-563-0129

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	08/22/2020

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