NPIMap

Organization Active NPI

Happy Haven Homes Inc.

  • Assisted Living Facility (Mental Illness)
  • Hammond, LA
National Provider Identifier
1003863853
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
10154 Issued in LA
Legal business name
HAPPY HAVEN HOMES INC.
Practice address
1206 J W Davis Dr
Ste. 105
Hammond, LA 70403-5953
Phone
(985) 543-0574
Fax
(985) 542-2832
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Randall J Smith
Title
Admin. Assist.
Phone
(985) 543-0574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X 10154 LA Primary

Addresses

Primary practice location

1206 J W Davis Dr
Ste. 105
Hammond, LA 70403-5953

Mailing address

42630 Hinson Rd
P.O. Box 3092
Hammond, LA 70403-3216
Phone (985) 543-0574

Other identifiers 1

IdentifierTypeStateIssuer
1454109MedicaidLA

Other names 1

  • HAPPY DAYS WORKSHOP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Happy Days Workshop6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1206 J W Davis Dr
Ste 105
Hammond, LA 70403
Phone (985) 543-0574

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1003863853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42630 HINSON RD",
            "address_2": "P.O. BOX 3092",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704033216",
            "telephone_number": "985-543-0574",
            "fax_number": "985-542-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 J W DAVIS DR",
            "address_2": "STE. 105",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704035953",
            "telephone_number": "985-543-0574",
            "fax_number": "985-542-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY HAVEN HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMIN. ASSIST.",
        "authorized_official_telephone_number": "985-543-0574",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "LA",
            "license": "10154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454109",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HAPPY DAYS WORKSHOP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.