Healthcare Provider Details

I. General information

NPI: 1811671365
Provider Name (Legal Business Name): MY HAPPY PLACE HOMECARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2023
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1638 N MAIN ST STE A
ANDERSON SC
29621-4757
US

IV. Provider business mailing address

PO BOX 1164
ANDERSON SC
29622-1164
US

V. Phone/Fax

Practice location:
  • Phone: 864-328-7522
  • Fax:
Mailing address:
  • Phone: 864-276-5715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: TIFFANY SMITH
Title or Position: MANAGER
Credential:
Phone: 864-276-5715