MEDICARE: NEW HARMONY HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174153613
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW HARMONY HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	6960 S CIMARRON RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2183
Country	:	US
Telephone Number	:	702-876-0186
Fax Number	:	702-876-0608

Provider Business Practice Location Address
First Line	:	6960 S CIMARRON RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89113-2183
Country	:	US
Telephone Number	:	702-876-0186
Fax Number	:	702-876-0608

Authorized Official
Title or Position	:	PRACTICE MANAGER
Name	:	MICHELLE BROMELIA
Credential	:
Telephone Number	:	702-876-0186

Provider Enumeration Date	:	01/23/2020
Last Update Date	:	01/29/2021

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Directions to “NEW HARMONY HEALTHCARE LLC ” Practice Location

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