Healthcare Provider Details

I. General information

NPI: 1467366351
Provider Name (Legal Business Name): HAPPY HARBOR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1044 WESTSHORE DR
ASHTABULA OH
44004-2326
US

IV. Provider business mailing address

1044 WESTSHORE DR
ASHTABULA OH
44004-2326
US

V. Phone/Fax

Practice location:
  • Phone: 440-855-9505
  • Fax:
Mailing address:
  • Phone: 440-855-9505
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name: ALYVIA CAMPLESE
Title or Position: CO-OWNER
Credential:
Phone: 440-855-9505