MEDICARE: HAPPY FEETS AND CARING HEARTS LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	372600000X	Adult Companion
2	3747A0650X	Attendant Care Provider
3	251C00000X	Developmentally Disabled Services Day Training Agency
4	251S00000X	Community/Behavioral Health Agency
5	253Z00000X	In Home Supportive Care Agency
6	305S00000X	Point of Service
7	332800000X	Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
8	374T00000X	Religious Nonmedical Nursing Personnel
9	374U00000X	Home Health Aide
10	376K00000X	Nurse's Aide
11	385HR2055X	Child Mental Illness Respite Care
12	385HR2065X	Child Physical Disabilities Respite Care
13	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1669247045
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY FEETS AND CARING HEARTS LLC

Provider Business Mailing Address
First Line	:	629 W MAIN ST # 1021
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73102-2221
Country	:	US
Telephone Number	:	572-218-0273
Fax Number	:

Provider Business Practice Location Address
First Line	:	629 W MAIN ST # 1021
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73102-2221
Country	:	US
Telephone Number	:	572-218-0273
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CAREGIVER
Name	:	ARETHA L BEAVERS
Credential	:
Telephone Number	:	572-218-0273

Provider Enumeration Date	:	11/16/2023
Last Update Date	:	08/01/2024

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