Healthcare Provider Details

I. General information

NPI: 1902670813
Provider Name (Legal Business Name): HARMONY PALLIATIVE CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2023
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 E WHITEHOUSE CANYON RD STE 100
GREEN VALLEY AZ
85614-0539
US

IV. Provider business mailing address

310 S WILLIAMS BLVD STE 210
TUCSON AZ
85711-4483
US

V. Phone/Fax

Practice location:
  • Phone: 520-284-9334
  • Fax:
Mailing address:
  • Phone: 520-284-9334
  • Fax: 520-284-7966

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ADAM HENDERSON
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 520-284-9334