MEDICARE: HARMONY HAVEN 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	:	1558224642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY HAVEN LLC

Provider Business Mailing Address
First Line	:	1110 BOLL WEEVIL CIR STE D
Second Line	:
City	:	ENTERPRISE
State	:	AL
Zip	:	36330-1390
Country	:	US
Telephone Number	:	205-440-2159
Fax Number	:

Provider Business Practice Location Address
First Line	:	1105 CARVER HOMES APT A
Second Line	:
City	:	FLORENCE
State	:	AL
Zip	:	35630-5122
Country	:	US
Telephone Number	:	205-440-2159
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	COURTNEY PAIGE SUMMERHILL
Credential	:
Telephone Number	:	205-440-2159

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/04/2025

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