MEDICARE: HARMONY ADULT DAYCARE CENTER 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	261QA0600X	Adult Day Care Clinic/Center

General Provider Information

NPI Number	:	1104675180
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY ADULT DAYCARE CENTER LLC

Provider Business Mailing Address
First Line	:	5008 MAGNOLIA BLOSSOM BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-1029
Country	:	US
Telephone Number	:	614-556-3331
Fax Number	:

Provider Business Practice Location Address
First Line	:	5008 MAGNOLIA BLOSSOM BLVD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-1029
Country	:	US
Telephone Number	:	614-556-3331
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	AMINA AHMED
Credential	:
Telephone Number	:	614-556-3331

Provider Enumeration Date	:	05/14/2024
Last Update Date	:	05/14/2024

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