Healthcare Provider Details

I. General information

NPI: 1275448227
Provider Name (Legal Business Name): HAPPY 2B HOME LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10200 N HAPPY TRL
RATHDRUM ID
83858-9482
US

IV. Provider business mailing address

PO BOX 373
RATHDRUM ID
83858-0373
US

V. Phone/Fax

Practice location:
  • Phone: 298-277-6302
  • Fax: 208-712-6823
Mailing address:
  • Phone: 208-277-6302
  • Fax: 208-712-6823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: REID L SHEPARD
Title or Position: OWNER
Credential: LPN
Phone: 208-277-6302