MEDICARE: HAPPY HOMECARE STAFFING INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	HC3555	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154580181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY HOMECARE STAFFING INC

Provider Business Mailing Address
First Line	:	6720 PENTECOST RD
Second Line	:
City	:	CEDAR GROVE
State	:	NC
Zip	:	27231-9269
Country	:	US
Telephone Number	:	919-563-0129
Fax Number	:	919-304-0976

Provider Business Practice Location Address
First Line	:	6720 PENTECOST RD
Second Line	:
City	:	CEDAR GROVE
State	:	NC
Zip	:	27231-9269
Country	:	US
Telephone Number	:	919-563-0129
Fax Number	:	919-304-0976

Authorized Official
Title or Position	:	DIRECTOR/OWNER
Name	:	MS. LESA ANDREWS KENDRICK
Credential	:	MLT
Telephone Number	:	919-563-0129

Provider Enumeration Date	:	06/05/2008
Last Update Date	:	06/05/2008

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Directions to “HAPPY HOMECARE STAFFING INC ” Practice Location

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