Provider Demographics
NPI:1134600364
Name:HAPPY HEARTS SOCIAL ADULT DAY CARE, INC.
Entity type:Organization
Organization Name:HAPPY HEARTS SOCIAL ADULT DAY CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:CNA, CAC
Authorized Official - Phone:516-859-1555
Mailing Address - Street 1:52 JERICHO TPKE
Mailing Address - Street 2:
Mailing Address - City:MINEOLA
Mailing Address - State:NY
Mailing Address - Zip Code:11501-2938
Mailing Address - Country:US
Mailing Address - Phone:888-988-8168
Mailing Address - Fax:
Practice Address - Street 1:52 JERICHO TPKE
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-2938
Practice Address - Country:US
Practice Address - Phone:888-988-8168
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-25
Last Update Date:2018-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care