Organization
HAPPY AT HOME PERSONAL CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY BOURRAGE RN (OWNER)
(601) 480-4754
Entity
Organization
Contact information
Practice address
16412 HIGHWAY 16 E, DE KALB, MS 39328-5507
(601) 480-4754
Mailing address
12485 SCHAMBERVILLE LN, COLLINSVILLE, MS 39325-9195
(601) 480-4754
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01172024233145
—
MS
05
—
1528829512
—
MS
05
—
1639930936
—
MS
Enumeration date
01/23/2024
Last updated
01/09/2026
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