Healthcare Provider Details

I. General information

NPI: 1801665476
Provider Name (Legal Business Name): HARMONY HORIZON SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/25/2023
Last Update Date: 01/07/2024
Certification Date: 01/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 C AVE NW
CEDAR RAPIDS IA
52405-3815
US

IV. Provider business mailing address

828 C AVE NW
CEDAR RAPIDS IA
52405-3815
US

V. Phone/Fax

Practice location:
  • Phone: 319-440-4641
  • Fax:
Mailing address:
  • Phone: 319-440-4641
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code3104A0625X
TaxonomyAssisted Living Facility (Mental Illness)
License Number
License Number State

VIII. Authorized Official

Name: REUBEN MILENZO AZOZA
Title or Position: OWNER
Credential:
Phone: 319-440-4641