Healthcare Provider Details
I. General information
NPI: 1205980240
Provider Name (Legal Business Name): HARMONY HOME HEALTH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/23/2007
Last Update Date: 07/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5700 HARPER DR NE SUITE 280
ALBUQUERQUE NM
87109-3573
US
IV. Provider business mailing address
5650 GREEN ST
MURRAY UT
84123-5796
US
V. Phone/Fax
- Phone: 505-828-2273
- Fax: 505-898-1449
- Phone: 801-281-0537
- Fax: 801-266-3482
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 3181 |
| License Number State | NM |
VIII. Authorized Official
Name:
KARI
LYNNE
DOMM
Title or Position: CEO
Credential:
Phone: 801-281-0537