MEDICARE: HARMONY RESIDENTIAL SERVICES 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1497614598
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY RESIDENTIAL SERVICES LLC

Provider Business Mailing Address
First Line	:	3233 GORDON DR
Second Line	:
City	:	PETERSBURG
State	:	VA
Zip	:	23805-2658
Country	:	US
Telephone Number	:	804-766-4144
Fax Number	:

Provider Business Practice Location Address
First Line	:	3233 GORDON DR
Second Line	:
City	:	PETERSBURG
State	:	VA
Zip	:	23805-2658
Country	:	US
Telephone Number	:	804-766-4144
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. FESHONA CLAIBORNE
Credential	:
Telephone Number	:	804-766-4144

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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