Healthcare Provider Details

I. General information

NPI: 1992682660
Provider Name (Legal Business Name): H.A.P.P.Y CAREGIVING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2025
Last Update Date: 08/16/2025
Certification Date: 08/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

620 W BROADWAY ST STE 5
WEST MEMPHIS AR
72301-2937
US

IV. Provider business mailing address

620 W BROADWAY ST STE 5
WEST MEMPHIS AR
72301-2937
US

V. Phone/Fax

Practice location:
  • Phone: 870-394-4543
  • Fax:
Mailing address:
  • Phone: 870-394-4543
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: SHANEQYIA T JONES
Title or Position: PARTNER
Credential:
Phone: 870-559-6038