Organization Name: | HAPPY HAVEN HOMES |
NPI Number: | 1376731869 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RANDALL J SMITH (ASST. ADMIN.) |
Mailing Address: | 11365 Perret St Hammond |
State: | LA US |
Postal Code: | 704014605 |
Phone Number: | 9855430574 |
Fax Number: | 9855422832 |
NPI Enumeration Date: | 10/09/2007 |
NPI Last Update Date: | 10/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 320900000X |
License Number: | 534 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
Taxonomy Specialization: | |
Taxonomy Definition: | A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |