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General NPI Number Information
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NPI Number | 1629955489
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Entity Type | Organization
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Legal Business Name | HARMONY HEAVEN CARE LLC
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Dates
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Enumeration Date | 08/21/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 11512 N PORT WASHINGTON RD STE 200
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City | MEQUON
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State | WI
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Zip | 53092-3481
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Country | US
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Telephone | 414-899-2365
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Fax |
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Provider Business Mailing Address
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Address Line | 11512 N PORT WASHINGTON RD STE 200
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City | MEQUON
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State | WI
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Zip | 53092-3481
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Country | US
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Telephone | 414-899-2365
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | TATYANA BABAKHANOV
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Credential |
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Telephone | 414-899-2365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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