Healthcare Provider Details

I. General information

NPI: 1639055940
Provider Name (Legal Business Name): HARMONY CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2025
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3314 DECATUR ST
OMAHA NE
68111-4142
US

IV. Provider business mailing address

3314 DECATUR ST
OMAHA NE
68111-4142
US

V. Phone/Fax

Practice location:
  • Phone: 301-549-6872
  • Fax:
Mailing address:
  • Phone: 301-549-6872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: BRYANT OBEN ARREY
Title or Position: CEO
Credential:
Phone: 301-549-6872