Organization Active NPI

Happy at Home Personal Care Services

  • In Home Supportive Care Agency
  • De Kalb, MS
National Provider Identifier
1487415790
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HAPPY AT HOME PERSONAL CARE SERVICES
Practice address
16412 Highway 16 E
De Kalb, MS 39328-5507
Phone
(601) 480-4754
NPI assigned
Jan 23, 2024
Last updated
Jan 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Authorized official

Name
Larry Bourrage, RNNPI 1528829512
Title
Owner
Phone
(601) 480-4754

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Nursing Care Agency 251J00000X NU
Personal Care Attendant 3747P1801X NU
Home Health Aide 374U00000X NU
Homemaker 376J00000X NU
Respite Care 385H00000X NU
Home Health Registered Nurse 163WH0200X NU
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

16412 Highway 16 E
De Kalb, MS 39328-5507

Mailing address

12485 Schamberville LN
Collinsville, MS 39325-9195
Phone (601) 480-4754

Other identifiers 3

IdentifierTypeStateIssuer
01172024233145MedicaidMS
1528829512MedicaidMS
1639930936MedicaidMS

National Provider Directory

National Provider Directory

Locations

16412 Highway 16 E
De Kalb, MS 39328
Phone (601) 480-4754

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767916800000",
    "number": "1487415790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12485 SCHAMBERVILLE LN",
            "city": "COLLINSVILLE",
            "state": "MS",
            "postal_code": "393259195",
            "telephone_number": "601-480-4754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16412 HIGHWAY 16 E",
            "city": "DE KALB",
            "state": "MS",
            "postal_code": "393285507",
            "telephone_number": "601-480-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY AT HOME PERSONAL CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A",
        "authorized_official_last_name": "BOURRAGE",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-480-4754",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01172024233145",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528829512",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639930936",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in De Kalb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.