MEDICARE: HAPPY HEARTS HOME HEALTHCARE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	251E00000X	Home Health Agency
3	261QD1600X	Developmental Disabilities Clinic/Center
4	385H00000X	Respite Care
5	253Z00000X	In Home Supportive Care Agency
6	385HR2055X	Child Mental Illness Respite Care
7	261QM0855X	Adolescent and Children Mental Health Clinic/Center
8	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1558179812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY HEARTS HOME HEALTHCARE

Provider Business Mailing Address
First Line	:	11948 RED LEAF DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-1017
Country	:	US
Telephone Number	:	980-378-4013
Fax Number	:	980-215-0355

Provider Business Practice Location Address
First Line	:	11948 RED LEAF DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-1017
Country	:	US
Telephone Number	:	704-651-8547
Fax Number	:	980-215-0355

Authorized Official
Title or Position	:	OWNER
Name	:	TINESSA R EDWARDS
Credential	:
Telephone Number	:	980-378-4013

Provider Enumeration Date	:	12/19/2024
Last Update Date	:	04/19/2026

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Directions to “HAPPY HEARTS HOME HEALTHCARE ” Practice Location

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