Organization Active NPI

Happiness Life Center, Inc

  • Adult Day Care Clinic/Center
  • Port Orange, FL
National Provider Identifier
1659617371
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
9213 Issued in FL
Legal business name
HAPPINESS LIFE CENTER, INC
Practice address
840 Dunlawton Ave
Suite D
Port Orange, FL 32127-4223
Phone
(386) 868-3892
Fax
(386) 506-8255
NPI assigned
Dec 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
Mr. Steven M Katz
Title
Administrator
Phone
(386) 868-3892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 9213 FL Primary

Addresses

Primary practice location

840 Dunlawton Ave
Suite D
Port Orange, FL 32127-4223

Mailing address

840 Dunlawton Ave
Suite D
Port Orange, FL 32127-4223
Phone (386) 868-3892

Other identifiers 1

IdentifierTypeStateIssuer
006794900MedicaidFL

National Provider Directory

National Provider Directory

Locations

840 Dunlawton Ave
Ste D
Port Orange, FL 32127
Phone (386) 868-3892

NPI Registry JSON

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

{
    "created_epoch": "1356652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1659617371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 DUNLAWTON AVE",
            "address_2": "SUITE D",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274223",
            "telephone_number": "386-868-3892",
            "fax_number": "386-506-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 DUNLAWTON AVE",
            "address_2": "SUITE D",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274223",
            "telephone_number": "386-868-3892",
            "fax_number": "386-506-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPINESS LIFE CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-28",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "KATZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "386-868-3892",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "FL",
            "license": "9213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006794900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.