Healthcare Provider Details

I. General information

NPI: 1073971560
Provider Name (Legal Business Name): HARMONY HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2016
Last Update Date: 04/18/2022
Certification Date: 04/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

404 CAYLAND CT
CHESAPEAKE VA
23322-3624
US

IV. Provider business mailing address

404 CAYLAND CT
CHESAPEAKE VA
23322-3624
US

V. Phone/Fax

Practice location:
  • Phone: 757-482-4013
  • Fax:
Mailing address:
  • Phone:
  • 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 Code385H00000X
TaxonomyRespite Care
License NumberHCO-161391
License Number StateVA

VIII. Authorized Official

Name: CATHERINE JENNIFER JOHNSON
Title or Position: NURSING ADMINISTRATOR
Credential:
Phone: 757-560-4951