Healthcare Provider Details

I. General information

NPI: 1740085828
Provider Name (Legal Business Name): HARMONY PLACE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2025
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5009 S BILOXI WAY
AURORA CO
80016-4257
US

IV. Provider business mailing address

5009 S BILOXI WAY
AURORA CO
80016-4257
US

V. Phone/Fax

Practice location:
  • Phone: 206-432-2659
  • Fax:
Mailing address:
  • Phone: 206-432-2659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: ALEM ADUGNA
Title or Position: DIRECTOR/OWNER
Credential:
Phone: 206-432-2659