Active NPI
Happy Hearts Group Home
- Community/Behavioral Health Agency
- Gibsonville, NC
National Provider Identifier
1740804111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | happyheartsnc@gmail.com | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2291346 | Happy Hearts Group Home | Certificate of waiver | Oct 9, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Happy Hearts Group Home
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Whitsett, NC
- NPI 1063291011
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.