Healthcare Provider Details

I. General information

NPI: 1679361646
Provider Name (Legal Business Name): HAPPY HOME HEALTHCARE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 THOMAS CIR NE
MASSILLON OH
44646-4976
US

IV. Provider business mailing address

411 THOMAS CIR NE
MASSILLON OH
44646-4976
US

V. Phone/Fax

Practice location:
  • Phone: 330-775-0210
  • Fax:
Mailing address:
  • Phone: 330-775-0210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MCKENZIE THOMAS
Title or Position: OWNER
Credential:
Phone: 330-775-0210