MEDICARE: HAPPY GRANPS

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	3747P1801X	Personal Care Attendant
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1205788783
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY GRANPS

Provider Business Mailing Address
First Line	:	405 W COULTER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-4550
Country	:	US
Telephone Number	:	215-403-1790
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 W COULTER ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19144-4550
Country	:	US
Telephone Number	:	215-403-1790
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER/CEO
Name	:	GEORGETTA DEVON WELLMAN
Credential	:
Telephone Number	:	267-235-7071

Provider Enumeration Date	:	02/09/2026
Last Update Date	:	02/09/2026

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Directions to “HAPPY GRANPS ” Practice Location

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