Organization Active NPI

Happy Hearts Group Home

  • Community/Behavioral Health Agency
  • Gibsonville, NC
National Provider Identifier
1740804111
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HAPPY HEARTS GROUP HOME
Practice address
6255 Burlington Rd
Gibsonville, NC 27249-8783
Phone
(336) 944-7370
NPI assigned
Jun 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Miss Lucinda Marie Davis
Title
Owner
Phone
(336) 944-7370

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Adult Care Home Facility 311ZA0620X

Addresses

Primary practice location

6255 Burlington Rd
Gibsonville, NC 27249-8783

Mailing address

PO Box 334
Whitsett, NC 27377-0334
Phone (336) 944-7370

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL happyheartsnc@gmail.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2291346Happy Hearts Group Home6255 Burlington, Gibsonville, NC 27249Certificate of waiverOct 9, 2027

National Provider Directory

National Provider Directory
Tax ID family
Happy Hearts Group Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1740804111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 334",
            "city": "WHITSETT",
            "state": "NC",
            "postal_code": "273770334",
            "telephone_number": "336-944-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 BURLINGTON RD",
            "city": "GIBSONVILLE",
            "state": "NC",
            "postal_code": "272498783",
            "telephone_number": "336-944-7370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAPPY HEARTS GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-02",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-944-7370",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "happyheartsnc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Company E-Mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "6255 Burlington Rd",
            "city": "Gibsonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272498783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gibsonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.