Healthcare Provider Details

I. General information

NPI: 1720756760
Provider Name (Legal Business Name): A HAPPY HEART HOME CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2021
Last Update Date: 09/03/2021
Certification Date: 09/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 QUEEN AVE
METHUEN MA
01844-4924
US

IV. Provider business mailing address

89 HOWE ST
METHUEN MA
01844-3241
US

V. Phone/Fax

Practice location:
  • Phone: 978-375-3361
  • Fax:
Mailing address:
  • Phone: 978-375-3361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: PROF. SUSAN PEREDNA TRAINA
Title or Position: MANAGER
Credential:
Phone: 978-375-3361