=====================================================
General NPI Number Information
=====================================================
NPI Number | 1871236372
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A HAPPY SOLUTION HOME CARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/14/2022
-----------------------------------------------------
Last Update Date | 04/14/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1777 TAMIAMI TRL STE 304
-----------------------------------------------------
City | PORT CHARLOTTE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33948-1083
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 941-623-5333
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1777 TAMIAMI TRL STE 304
-----------------------------------------------------
City | PORT CHARLOTTE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33948-1083
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MNG
-----------------------------------------------------
Name | ARAIMY HERNANDEZ GONZALEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 941-623-5533
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------