MEDICARE: HARMONY HEALS HOME HEALTHCARE 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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1639950116
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY HEALS HOME HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	104 LAKE POINT DR
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-1816
Country	:	US
Telephone Number	:	314-830-8171
Fax Number	:	888-668-6552

Provider Business Practice Location Address
First Line	:	104 LAKE POINT DR
Second Line	:
City	:	SAINT PETERS
State	:	MO
Zip	:	63376-1816
Country	:	US
Telephone Number	:	314-830-8171
Fax Number	:	888-668-6552

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MS. BIANCA MOORE
Credential	:
Telephone Number	:	314-830-8171

Provider Enumeration Date	:	10/10/2023
Last Update Date	:	10/10/2023

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