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NPI 1720652647

NPI 1720652647 : HAPPY FAMILY HOME CARE AGENCY,LLC : CARMEL, NY

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General NPI Number Information
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    NPI Number           |    1720652647
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    Entity Type          |    Organization 
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    Legal Business Name  |    HAPPY FAMILY HOME CARE AGENCY,LLC 
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Dates
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    Enumeration Date     |    05/15/2021
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    Last Update Date     |    05/15/2021
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Provider Practice Location Address
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    Address Line         |    350 WESHORE DR 
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    City                 |    CARMEL
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    State                |    NY
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    Zip                  |    10512
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    Country              |    US
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    Telephone            |    204-794-6478
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    37 MABEL AVE 
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    City                 |    DANBURY
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    State                |    CT
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    Zip                  |    06811-3740
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    Country              |    US
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    Telephone            |    786-356-9321
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CASE MANAGER
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    Name                 |     CHARLENE  NELSON 
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    Credential           |    
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    Telephone            |    203-794-6478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    253Z00000X
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    Taxonomy Name        |    In Home Supportive Care Agency
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    License Number       |    
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    License Number State |    
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