Healthcare Provider Details

I. General information

NPI: 1881467843
Provider Name (Legal Business Name): HAPPY HEALTHY SAFE SUPPORT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2023
Last Update Date: 11/01/2023
Certification Date: 11/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4933 BLACK HORSE PIKE
MAYS LANDING NJ
08330-2639
US

IV. Provider business mailing address

4933 BLACK HORSE PIKE
MAYS LANDING NJ
08330-2639
US

V. Phone/Fax

Practice location:
  • Phone: 609-213-5824
  • Fax:
Mailing address:
  • Phone: 609-213-5824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: SARA MAIORINO
Title or Position: DIRECTOR
Credential:
Phone: 609-213-5824