Healthcare Provider Details

I. General information

NPI: 1790578367
Provider Name (Legal Business Name): HAPPY DAYS ADULT DAY CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 INDIGO HILLS DR
CHAPIN SC
29036-7582
US

IV. Provider business mailing address

203 INDIGO HILLS DR
CHAPIN SC
29036-7582
US

V. Phone/Fax

Practice location:
  • Phone: 803-401-5025
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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 Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MRS. SHARONDA D GORDON
Title or Position: OWNER / CEO
Credential:
Phone: 803-603-9218