MEDICARE: HAPPY LIFE HOME CARE AGENCY LLC

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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1730964198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY LIFE HOME CARE AGENCY LLC

Provider Business Mailing Address
First Line	:	4801 HANGING IVY DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28215-5020
Country	:	US
Telephone Number	:	704-615-2091
Fax Number	:

Provider Business Practice Location Address
First Line	:	4801 HANGING IVY DR
Second Line	:	CHARLOTTE
City	:	CHARLOTTE, NC/USA
State	:	NC
Zip	:	28215
Country	:	US
Telephone Number	:	704-615-2091
Fax Number	:

Authorized Official
Title or Position	:	CEO-AGENCY DIRECTOR
Name	:	MARZIEH SHOKRIGHADIKOLAEI
Credential	:
Telephone Number	:	704-615-2091

Provider Enumeration Date	:	08/25/2023
Last Update Date	:	03/02/2026

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