Provider Demographics
NPI:1730888983
Name:HAPPY DAY SUPPORT LLC
Entity type:Organization
Organization Name:HAPPY DAY SUPPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:SHERRELL
Authorized Official - Last Name:VENABLE
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:919-862-7589
Mailing Address - Street 1:PO BOX 1802
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27528-1802
Mailing Address - Country:US
Mailing Address - Phone:919-862-7589
Mailing Address - Fax:
Practice Address - Street 1:44 WESTFIELD CT
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27527-7705
Practice Address - Country:US
Practice Address - Phone:919-862-7589
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-27
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1093412744Medicaid