Healthcare Provider Details

I. General information

NPI: 1912537986
Provider Name (Legal Business Name): HARMONY HOME HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2020
Last Update Date: 01/18/2020
Certification Date: 01/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 FOOTE RD
EAST HAVEN CT
06512-2503
US

IV. Provider business mailing address

48 FOOTE RD
EAST HAVEN CT
06512-2503
US

V. Phone/Fax

Practice location:
  • Phone: 203-469-2538
  • Fax: 800-948-6981
Mailing address:
  • Phone: 203-469-2538
  • Fax: 800-948-6981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MR. RAUL GOODWIN
Title or Position: OWNER
Credential: LPN
Phone: 203-469-2538