Organization Active NPI

Happy Life Home Care LLC

  • In Home Supportive Care Agency
  • Kennesaw, GA
National Provider Identifier
1295470201
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HAPPY LIFE HOME CARE LLC
Practice address
2274 Dresden GRN NW
Kennesaw, GA 30144-1283
Phone
(678) 651-7242
NPI assigned
May 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Blessing Idamkue
Title
Administrator
Phone
(678) 651-7242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2274 Dresden GRN NW
Kennesaw, GA 30144-1283

Mailing address

2274 Dresden GRN NW
Kennesaw, GA 30144-1283
Phone (678) 651-7242

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1295470201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 DRESDEN GRN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441283",
            "telephone_number": "678-651-7242",
            "fax_number": "678-742-8203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2274 DRESDEN GRN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441283",
            "telephone_number": "678-651-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY LIFE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "IDAMKUE",
        "authorized_official_first_name": "BLESSING",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-651-7242"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.