MEDICARE: LIV HAPPYY (LH) LLC

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	385H00000X	Respite Care

General Provider Information

NPI Number	:	1578259354
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIV HAPPYY (LH) LLC

Provider Business Mailing Address
First Line	:	6015 LEHMAN DR STE 203
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-3421
Country	:	US
Telephone Number	:	719-235-0382
Fax Number	:

Provider Business Practice Location Address
First Line	:	6015 LEHMAN DR STE 203
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-3421
Country	:	US
Telephone Number	:	719-235-0382
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KARLDY HEINZ ISIDOR
Credential	:
Telephone Number	:	719-235-0382

Provider Enumeration Date	:	04/13/2023
Last Update Date	:	04/13/2023

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