MEDICARE: HARMONY AT HOME PROVIDER SERVICES 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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1245985415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY AT HOME PROVIDER SERVICES LLC

Provider Business Mailing Address
First Line	:	1504 SANTA ROSA RD RM 114
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23229-5109
Country	:	US
Telephone Number	:	804-210-3103
Fax Number	:

Provider Business Practice Location Address
First Line	:	1504 SANTA ROSA RD RM 114
Second Line	:
City	:	HENRICO
State	:	VA
Zip	:	23229-5109
Country	:	US
Telephone Number	:	804-210-3103
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	WILL SAUNDERS
Credential	:
Telephone Number	:	804-677-2028

Provider Enumeration Date	:	02/16/2022
Last Update Date	:	03/26/2024

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Directions to “HARMONY AT HOME PROVIDER SERVICES LLC ” Practice Location

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