Healthcare Provider Details

I. General information

NPI: 1407769292
Provider Name (Legal Business Name): HAPPY CARE HOME PLUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5353 N TOBEN CT
BEL AIRE KS
67226-8846
US

IV. Provider business mailing address

5353 N TOBEN CT
BEL AIRE KS
67226-8846
US

V. Phone/Fax

Practice location:
  • Phone: 316-932-3615
  • Fax:
Mailing address:
  • Phone: 316-932-3615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. CELESTINE F FOTECK
Title or Position: CEO
Credential:
Phone: 316-932-3615