Healthcare Provider Details

I. General information

NPI: 1003600917
Provider Name (Legal Business Name): SWEET HARMONY HOUSE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2025
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 YORK ST
ROCKY MOUNT NC
27803-2542
US

IV. Provider business mailing address

3719 LANDSHIRE VIEW LN
RALEIGH NC
27616-8890
US

V. Phone/Fax

Practice location:
  • Phone: 919-264-8897
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DAISHA EVANS
Title or Position: OWNER
Credential:
Phone: 919-264-8897