Healthcare Provider Details

I. General information

NPI: 1508791500
Provider Name (Legal Business Name): HARMONY HOME CARE AGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2391 SANTA VISTA LOOP
APOPKA FL
32703-9220
US

IV. Provider business mailing address

2391 SANTA VISTA LOOP
APOPKA FL
32703-9220
US

V. Phone/Fax

Practice location:
  • Phone: 321-315-8606
  • Fax:
Mailing address:
  • Phone: 321-315-8606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ONEAL DESRAVINES
Title or Position: OWNER / AUTHORIZED OFFICIAL
Credential:
Phone: 321-315-8606