MEDICARE: HARMONY HEALTH PLAN, 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	302R00000X	Health Maintenance Organization		IL

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	:	1417114836
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY HEALTH PLAN, INC.

Provider Business Mailing Address
First Line	:	8735 HENDERSON RD
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33634-1143
Country	:	US
Telephone Number	:	813-290-6200
Fax Number	:

Provider Business Practice Location Address
First Line	:	29 NORTH WACKER DRIVE
Second Line	:	SUITE 300
City	:	CHICAGO
State	:	IL
Zip	:	60606-3203
Country	:	US
Telephone Number	:	312-630-2025
Fax Number	:

Authorized Official
Title or Position	:	SECRETARY
Name	:	MICHAEL HABER
Credential	:
Telephone Number	:	813-206-2702

Provider Enumeration Date	:	05/22/2008
Last Update Date	:	06/05/2017

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