Provider Demographics
NPI: | 1255101754 |
---|---|
Name: | HAPPY FUNCTIONAL WELLNES LLC |
Entity type: | Organization |
Organization Name: | HAPPY FUNCTIONAL WELLNES LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | RRT, RCP |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JUANITA |
Authorized Official - Middle Name: | EMILY |
Authorized Official - Last Name: | STRICKLAND |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | RRT, RCP |
Authorized Official - Phone: | 509-998-0887 |
Mailing Address - Street 1: | 5113 S 163RD ST |
Mailing Address - Street 2: | |
Mailing Address - City: | OMAHA |
Mailing Address - State: | NE |
Mailing Address - Zip Code: | 68135-1211 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 5113 S 163RD ST |
Practice Address - Street 2: | |
Practice Address - City: | OMAHA |
Practice Address - State: | NE |
Practice Address - Zip Code: | 68135-1211 |
Practice Address - Country: | US |
Practice Address - Phone: | 509-998-0887 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | Yes |
Parent Organization LBN: | HAPPY FUNCTIONAL WELLNESS LLC |
Parent Organization TIN: | <UNAVAIL> |
Enumeration Date: | 2024-01-05 |
Last Update Date: | 2025-09-05 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 2278H0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Home Health | Group - Multi-Specialty |
No | 174200000X | Other Service Providers | Meals | Group - Multi-Specialty | |
No | 246RP1900X | Technologists, Technicians & Other Technical Service Providers | Technician, Pathology | Phlebotomy | Group - Multi-Specialty |
No | 2278P1005X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | Pulmonary Rehabilitation | Group - Multi-Specialty |
No | 2278S1500X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Certified | SNF/Subacute Care | Group - Multi-Specialty |
No | 251B00000X | Agencies | Case Management | ||
No | 2279P3900X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Respiratory Therapist, Registered | Neonatal/Pediatrics | Group - Multi-Specialty |
No | 175L00000X | Other Service Providers | Homeopath | Group - Multi-Specialty | |
No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | ||
No | 251300000X | Agencies | Local Education Agency (LEA) | ||
No | 376G00000X | Nursing Service Related Providers | Nursing Home Administrator | Group - Multi-Specialty |