Healthcare Provider Details

I. General information

NPI: 1740141779
Provider Name (Legal Business Name): HARMONY HARBOUR PCH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2025
Last Update Date: 11/30/2025
Certification Date: 11/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

346 HENRY AARON AVE SW
ATLANTA GA
30310-1021
US

IV. Provider business mailing address

682 RIVER COVE CT
DACULA GA
30019-2099
US

V. Phone/Fax

Practice location:
  • Phone: 901-648-1440
  • Fax:
Mailing address:
  • Phone: 901-648-1440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332U00000X
TaxonomyHome Delivered Meals
License Number
License Number State

VIII. Authorized Official

Name: CLAUDETTE ALLEN
Title or Position: OWNER/ADMINISTRATOR
Credential: RN
Phone: 901-648-1440