Happy Homes of North Carolina

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

MHL-092-694 Issued in NC

Legal business name

HAPPY HOMES OF NORTH CAROLINA

Doing business as

'Our Place '

Practice address

1040 Buck Jones Rd
Raleigh, NC 27606-3323

Phone

(919) 559-6141

Fax

(919) 319-6365

NPI assigned

Dec 31, 2007

Last updated

Dec 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Raj Polavaram, M.D.

Title

Chairman

Phone

(919) 559-6141

Specialties & licenses 1

Addresses

Other names 1

• 'Our Place ' Doing business as

Locations

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1609051382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 KILDAIRE FARM RD",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275113922",
            "telephone_number": "919-559-6141",
            "fax_number": "919-319-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 BUCK JONES RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276063323",
            "telephone_number": "919-559-6141",
            "fax_number": "919-319-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY HOMES OF NORTH CAROLINA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "POLAVARAM",
        "authorized_official_first_name": "RAJ",
        "authorized_official_title_or_position": "CHAIRMAN",
        "authorized_official_telephone_number": "919-559-6141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NC",
            "license": "MHL-092-694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "'Our Place '",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Harlan C Hanson
• Katherine Harris Hanson, MSW, LCSWA
• Kendall Emery Hanson
• Tracy Hanson
• Leah Kay Hanusik
• Tanvir Haque, MD
• Prashanth Haran, M.D.
• Bryce Alan Harbertson, M.D.
• Martha Leigh Harbour, MSW, LCSW
• Cameron Hardee, A.N.P

• Developmentally Disabled Services Day Training Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.