Healthcare Provider Details

I. General information

NPI: 1134600364
Provider Name (Legal Business Name): HAPPY HEARTS SOCIAL ADULT DAY CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

Provider Other Name: HAPPY HEARTS SOCIAL ADULT DAY CARE, INC.

II. Dates (important events)

Enumeration Date: 08/25/2018
Last Update Date: 08/25/2018
Certification Date: HAPPY HEARTS SOCIAL ADULT DAY CARE, INC. 52 JERICHO TPKE MINEOLA NY 11501 52 JERICHO TPKE MINEOLA NY 11501
Deactivation Date:
Reactivation Date:

III. Provider practice location address

52 JERICHO TPKE
MINEOLA NY
115012938
US

IV. Provider business mailing address

52 JERICHO TPKE
MINEOLA NY
115012938
US

V. Phone/Fax

Practice location:
  • Phone: 888-988-8168
  • Fax:
Mailing address:
  • Phone: 888-988-8168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care
License Number
License Number State

VIII. Authorized Official

Name: PEGGY CHAN
Title or Position: DIRECTOR
Credential: CNA, CAC
Phone: 516-859-1555