Healthcare Provider Details

I. General information

NPI: 1063930360
Provider Name (Legal Business Name): HAPPY HANDS TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2703 TROTTER RD
HOPKINS SC
29061-8211
US

IV. Provider business mailing address

2703 TROTTER RD
HOPKINS SC
29061-8211
US

V. Phone/Fax

Practice location:
  • Phone: 803-542-8889
  • Fax: 803-955-7761
Mailing address:
  • Phone: 803-542-8889
  • Fax: 803-955-7761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: TYRELL DAVIS
Title or Position: MANAGER
Credential:
Phone: 803-542-8889