Healthcare Provider Details

I. General information

NPI: 1164898490
Provider Name (Legal Business Name): HAPPY SENIORS HOME INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2015
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 OAK DR
SYOSSET NY
11791-4607
US

IV. Provider business mailing address

21 BORDER ST
HICKSVILLE NY
11801-3756
US

V. Phone/Fax

Practice location:
  • Phone: 516-884-9478
  • Fax: 516-539-3539
Mailing address:
  • Phone: 516-303-6803
  • Fax: 516-536-3539

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: AMITA KARWAL
Title or Position: DIRECTOR
Credential:
Phone: 516-303-6803