Home for Happy Life LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

HOME FOR HAPPY LIFE LLC

Practice address

3525 W Diana Ave
Phoenix, AZ 85051-4743

Phone

(623) 205-6362

NPI assigned

Apr 20, 2023

Organization subpart

No

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

Authorized official

Name

Brenda Campbell

Title

Co-Owner

Phone

(623) 205-6362

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1700573581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 W DIANA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850514743",
            "telephone_number": "623-205-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 W DIANA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850514743",
            "telephone_number": "623-205-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME FOR HAPPY LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "623-205-6362"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.