MEDICARE: ARIZONA HARMONY HOME HEALTHCARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1083083612
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ARIZONA HARMONY HOME HEALTHCARE, LLC

Provider Business Mailing Address
First Line	:	5070 N 40TH ST
Second Line	:	SUITE 120
City	:	PHOENIX
State	:	AZ
Zip	:	85018-2148
Country	:	US
Telephone Number	:	480-719-1550
Fax Number	:	602-926-2424

Provider Business Practice Location Address
First Line	:	5070 N 40TH ST
Second Line	:	SUITE 120
City	:	PHOENIX
State	:	AZ
Zip	:	85018-2148
Country	:	US
Telephone Number	:	480-719-1550
Fax Number	:	602-926-2424

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	PHILLIP WESTBROOKS
Credential	:
Telephone Number	:	480-206-3999

Provider Enumeration Date	:	09/24/2015
Last Update Date	:	09/24/2015

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