Healthcare Provider Details
I. General information
NPI: 1831829811
Provider Name (Legal Business Name): HAPPY CARE CONNECTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/13/2022
Last Update Date: 08/22/2024
Certification Date: 08/22/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3090 W MARKET ST STE 101
FAIRLAWN OH
44333-3615
US
IV. Provider business mailing address
3090 W MARKET ST STE 101
FAIRLAWN OH
44333-3615
US
V. Phone/Fax
- Phone: 330-573-2039
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385HR2060X |
| Taxonomy | Child Intellectual and/or Developmental Disabilities Respite Care |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TALICIA
WILLIAMS
Title or Position: OWNER
Credential:
Phone: 330-573-2039