Organization Active NPI

Jeff D Miller Investments, LLC

Doing business as Happy at Home Healthcare

  • Home Health Agency
  • Henderson, TX
National Provider Identifier
1972911964
Registry record updated Mar 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
016464 Issued in TX
Legal business name
JEFF D MILLER INVESTMENTS, LLC
Doing business as
Happy at Home Healthcare
Practice address
125 S Main St
Henderson, TX 75654-3559
Phone
(903) 722-9002
Fax
(903) 722-9004
NPI assigned
Jul 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2015

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

Authorized official

Name
Wesley J Holloway
Title
Administrator
Phone
(903) 658-0619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 016464 TX Primary

Addresses

Primary practice location

125 S Main St
Henderson, TX 75654-3559

Mailing address

125 S Main St
Henderson, TX 75654-3559
Phone (903) 722-9002

Other names 1

  • Happy at Home Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141028002783 TX Part A Provider - Home Health Agency 6002037488 Practice locations: Henderson, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1972911964. Details of each certification follow.

Home health agency certification: CCN 677275

Legal name
JEFF D MILLER INVESTMENTS, LLC
Doing business as
HAPPY AT HOME HEALTHCARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 6, 1990
Last certification
Jan 17, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
125 South Main Street
Henderson, TX 75654-3559

Care Compare: Home health agency

Medicare Care Compare
Listed as
Happy at Home HealthcareCCN 677275 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Sep 6, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
45D0877901Happy at Home Healthcare125 South Main Street, Henderson, TX 75654Certificate of waiverOct 13, 2027

National Provider Directory

National Provider Directory

Locations

125 S Main St
Henderson, TX 75654
Phone (903) 722-9002

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Wesley J Holloway Individual 5% Or Greater Direct Ownership InterestMember Sep 15, 2014 100%
W-2 Managing EmployeeAdministrator Sep 15, 2014 100%

Practitioners & affiliated clinicians

Affiliated clinicians 10

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425859200000",
    "number": "1972911964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S MAIN ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756543559",
            "telephone_number": "903-722-9002",
            "fax_number": "903-722-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S MAIN ST",
            "city": "HENDERSON",
            "state": "TX",
            "postal_code": "756543559",
            "telephone_number": "903-722-9002",
            "fax_number": "903-722-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF D MILLER INVESTMENTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-23",
        "last_updated": "2015-03-09",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "903-658-0619"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "016464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Happy at Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, TX

Sources for this page

Verify at the official NPI Registry.