=====================================================
General NPI Number Information
=====================================================
NPI Number | 1538308291
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HARMONY HOME CARE INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/19/2009
-----------------------------------------------------
Last Update Date | 01/10/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 230 MORGANTON BLVD SW SUITE A
-----------------------------------------------------
City | LENOIR
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28645-5243
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-754-4401
-----------------------------------------------------
Fax | 828-754-4405
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 230 MORGANTON BLVD SW SUITE A
-----------------------------------------------------
City | LENOIR
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28645-5243
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-754-4401
-----------------------------------------------------
Fax | 828-754-4405
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AGENCY DIRECTOR
-----------------------------------------------------
Name | MR. MICHAEL JOSEPH KILBY
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 828-754-4401
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3747P1801X
-----------------------------------------------------
Taxonomy Name | Personal Care Attendant
-----------------------------------------------------
License Number | HC3783
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------