MEDICARE: HARMONY HEALTHCARE RESOURCES 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	3747P1801X	Personal Care Attendant
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1710547617
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY HEALTHCARE RESOURCES LLC

Provider Business Mailing Address
First Line	:	8126 PERALTA VALLEY CT
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-1888
Country	:	US
Telephone Number	:	832-387-0021
Fax Number	:	832-387-0021

Provider Business Practice Location Address
First Line	:	8126 PERALTA VALLEY CT
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-1888
Country	:	US
Telephone Number	:	832-387-0021
Fax Number	:	832-387-0021

Authorized Official
Title or Position	:	OWNER/ALTERNATE ADMINISTRATOR
Name	:	ADEGBOYEGA FAWEHINMI
Credential	:
Telephone Number	:	832-387-0021

Provider Enumeration Date	:	06/13/2019
Last Update Date	:	06/26/2019

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