MEDICARE: HAPPY FAMILY PRIMARY HOME CARE , LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	385H00000X	Respite Care
2	253Z00000X	In Home Supportive Care Agency
3	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1609399724
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY FAMILY PRIMARY HOME CARE , LLC

Provider Business Mailing Address
First Line	:	30602 SAINT FRANCIS AVE
Second Line	:
City	:	LOS FRESNOS
State	:	TX
Zip	:	78566-8331
Country	:	US
Telephone Number	:	956-266-4269
Fax Number	:	254-605-6280

Provider Business Practice Location Address
First Line	:	30602 SAINT FRANCIS AVE
Second Line	:
City	:	LOS FRESNOS
State	:	TX
Zip	:	78566-8331
Country	:	US
Telephone Number	:	956-266-4269
Fax Number	:	254-605-6280

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEFINA BOLANOS
Credential	:
Telephone Number	:	956-266-4269

Provider Enumeration Date	:	07/20/2017
Last Update Date	:	10/24/2023

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