MEDICARE: HAPPY SOULS CHRISTIAN ADULT CARE CENTER

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1225254188
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY SOULS CHRISTIAN ADULT CARE CENTER

Provider Business Mailing Address
First Line	:	2616 SOUTH LOOP W STE 660
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2662
Country	:	US
Telephone Number	:	713-838-0422
Fax Number	:

Provider Business Practice Location Address
First Line	:	2616 SOUTH LOOP W STE 660
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2662
Country	:	US
Telephone Number	:	713-838-0422
Fax Number	:

Authorized Official
Title or Position	:	CEO AND OWNER
Name	:	CARLIN JOUBERT
Credential	:
Telephone Number	:	713-838-0422

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	08/22/2020

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