MEDICARE: HARMONY HOUSE TRANSPORTATION

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	343900000X	Non-emergency Medical Transport (VAN)	RP994203	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275753980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY HOUSE TRANSPORTATION

Provider Business Mailing Address
First Line	:	4819 GREEN RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-5207
Country	:	US
Telephone Number	:	216-663-0463
Fax Number	:

Provider Business Practice Location Address
First Line	:	4819 GREEN RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-5207
Country	:	US
Telephone Number	:	216-663-0463
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JOHN MICHAEL GRIFFIN SR.
Credential	:
Telephone Number	:	216-663-0463

Provider Enumeration Date	:	04/26/2007
Last Update Date	:	08/04/2008

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Directions to “HARMONY HOUSE TRANSPORTATION ” Practice Location

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