MEDICARE: HAPPY HOMECARE ALABAMA

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	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518625771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY HOMECARE ALABAMA

Provider Business Mailing Address
First Line	:	285 N FOSTER ST STE 301
Second Line	:
City	:	DOTHAN
State	:	AL
Zip	:	36303-4541
Country	:	US
Telephone Number	:	512-239-8415
Fax Number	:

Provider Business Practice Location Address
First Line	:	285 N FOSTER ST STE 301
Second Line	:
City	:	DOTHAN
State	:	AL
Zip	:	36303-4541
Country	:	US
Telephone Number	:	512-239-8415
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KAREN ROBERTS-MITCHELL
Credential	:
Telephone Number	:	512-239-8415

Provider Enumeration Date	:	12/06/2021
Last Update Date	:	01/25/2024

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Directions to “HAPPY HOMECARE ALABAMA ” Practice Location

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