MEDICARE: HARMONY IN HOME HEALTH, LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251J00000X	Nursing Care Agency
3	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	604593235	OTHER	WA	STATE BUSINESS LICENSE
2	IHS.FS.61063464	OTHER	WA	HOME HEALTH LICENSE

General Provider Information

NPI Number	:	1437758547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY IN HOME HEALTH, LLC

Provider Business Mailing Address
First Line	:	103 E MAIN ST STE 304
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-1900
Country	:	US
Telephone Number	:	509-540-0882
Fax Number	:

Provider Business Practice Location Address
First Line	:	103 E MAIN ST STE 304
Second Line	:
City	:	WALLA WALLA
State	:	WA
Zip	:	99362-1900
Country	:	US
Telephone Number	:	509-540-0882
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. MICHAEL ANTHONY CANOPIN ARNUCO
Credential	:	RN BSN
Telephone Number	:	509-438-1860

Provider Enumeration Date	:	10/20/2020
Last Update Date	:	10/20/2020

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Directions to “HARMONY IN HOME HEALTH, LLC ” Practice Location

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