Healthcare Provider Details

I. General information

NPI: 1730083395
Provider Name (Legal Business Name): HARMONY BRIDGE CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 BROOKEDGE CT
BOWIE MD
20721-1813
US

IV. Provider business mailing address

619 BROOKEDGE CT
BOWIE MD
20721-1813
US

V. Phone/Fax

Practice location:
  • Phone: 929-353-4833
  • Fax:
Mailing address:
  • Phone: 929-353-4833
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: LATEEFAT ODUSOGA
Title or Position: CEO
Credential: CNA
Phone: 929-353-4833