MEDICARE: HAPPY HEARTS HAVEN

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	252Y00000X	Early Intervention Provider Agency

General Provider Information

NPI Number	:	1932092780
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAPPY HEARTS HAVEN

Provider Business Mailing Address
First Line	:	2817 ANTHONY LN S STE 216E
Second Line	:
City	:	SAINT ANTHONY
State	:	MN
Zip	:	55418-3254
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2817 ANTHONY LN S STE 216E
Second Line	:
City	:	SAINT ANTHONY
State	:	MN
Zip	:	55418-3254
Country	:	US
Telephone Number	:	651-627-1390
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SIRAJ HUSSEIN
Credential	:
Telephone Number	:	651-627-1390

Provider Enumeration Date	:	05/30/2025
Last Update Date	:	05/30/2025

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Directions to “HAPPY HEARTS HAVEN ” Practice Location

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