MEDICARE: HARMONEE AT HOME CARE SERVICE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1407504699
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONEE AT HOME CARE SERVICE LLC

Provider Business Mailing Address
First Line	:	725 S HUALAPAI WAY APT 2085
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-8842
Country	:	US
Telephone Number	:	414-313-8754
Fax Number	:

Provider Business Practice Location Address
First Line	:	725 S HUALAPAI WAY APT 2085
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-8842
Country	:	US
Telephone Number	:	414-313-8754
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	STEVEN WYNN
Credential	:
Telephone Number	:	414-313-8754

Provider Enumeration Date	:	03/16/2022
Last Update Date	:	03/16/2022

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Directions to “HARMONEE AT HOME CARE SERVICE LLC ” Practice Location

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