Healthcare Provider Details

I. General information

NPI: 1174227672
Provider Name (Legal Business Name): HARMONY HOMES FOR HEALING FOUNDATION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2023
Last Update Date: 05/28/2023
Certification Date: 05/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 FRANKLIN ST STE 300
OAKLAND CA
94607-3734
US

IV. Provider business mailing address

66 FRANKLIN ST STE 300
OAKLAND CA
94607-3734
US

V. Phone/Fax

Practice location:
  • Phone: 844-900-2990
  • Fax: 510-929-5451
Mailing address:
  • Phone: 844-900-2990
  • Fax: 510-929-5451

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code177F00000X
TaxonomyLodging Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: JAMILA J JOHNSON-PHILLIPS
Title or Position: EXECUTIVE DIRECTOR
Credential: MHA
Phone: 844-900-2990