MEDICARE: HARMONY HEALTH FORT WORTH, 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	283Q00000X	Psychiatric Hospital

General Provider Information

NPI Number	:	1528863941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY HEALTH FORT WORTH, LLC

Provider Business Mailing Address
First Line	:	7001 BRYANT IRVIN RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-4243
Country	:	US
Telephone Number	:	616-446-0271
Fax Number	:

Provider Business Practice Location Address
First Line	:	7001 BRYANT IRVIN RD
Second Line	:
City	:	FORT WORTH
State	:	TX
Zip	:	76132-4243
Country	:	US
Telephone Number	:	616-446-0271
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. KYLE SMALL
Credential	:
Telephone Number	:	317-372-6611

Provider Enumeration Date	:	02/18/2025
Last Update Date	:	02/18/2025

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