Happy Haven Adult Day Care LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

HAPPY HAVEN ADULT DAY CARE LLC

Practice address

15154 Carrollton Blvd Ste a
Carrollton, VA 23314-2316

Phone

(757) 717-8681

Fax

(888) 375-0610

NPI assigned

Nov 15, 2022

Last updated

Nov 15, 2022By 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

Anthony Peterkin

Title

Director

Phone

(757) 717-8681

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1679281000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15154 CARROLLTON BLVD STE A",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233142316",
            "telephone_number": "757-717-8681",
            "fax_number": "888-375-0610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15154 CARROLLTON BLVD STE A",
            "city": "CARROLLTON",
            "state": "VA",
            "postal_code": "233142316",
            "telephone_number": "757-717-8681",
            "fax_number": "888-375-0610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY HAVEN ADULT DAY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "PETERKIN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-717-8681"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apeterkin@happyhavenadultdaycare.com",
            "affiliation": "N",
            "endpointDescription": "apeterkin@happyhavenadultdaycare.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15154 Carrollton Blvd",
            "city": "Carrollton",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233142316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.