MEDICARE: HARMONY HOUSE CARE HOMES, INC.

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	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	1483-8687	MO

General Provider Information

NPI Number	:	1275655862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY HOUSE CARE HOMES, INC.

Provider Business Mailing Address
First Line	:	2026 NW 9TH ST
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015-1564
Country	:	US
Telephone Number	:	816-220-2597
Fax Number	:	816-220-2597

Provider Business Practice Location Address
First Line	:	1704 NW 9TH ST
Second Line	:
City	:	BLUE SPRINGS
State	:	MO
Zip	:	64015-7710
Country	:	US
Telephone Number	:	816-220-2597
Fax Number	:	816-220-2597

Authorized Official
Title or Position	:	ASST. ADMINISTRATOR
Name	:	MRS. NANCY L. HAGAMAN
Credential	:	BA
Telephone Number	:	816-220-2597

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	08/22/2020

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