Healthcare Provider Details

I. General information

NPI: 1962312587
Provider Name (Legal Business Name): HAPPY HUMMINGBIRDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 EXECUTIVE PARK RD STE 7A
HILTON HEAD ISLAND SC
29928-4739
US

IV. Provider business mailing address

18 EXECUTIVE PARK RD STE 7A
HILTON HEAD ISLAND SC
29928-4739
US

V. Phone/Fax

Practice location:
  • Phone: 843-604-9299
  • Fax:
Mailing address:
  • Phone: 843-604-9299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. MICHAEL EVERETT FENNER
Title or Position: CO-OWNER
Credential:
Phone: 305-509-0091