MEDICARE: HARMONY HANDS HOME HARE 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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1760220701
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY HANDS HOME HARE LLC

Provider Business Mailing Address
First Line	:	2441 WILLIAMS DR
Second Line	:
City	:	BURNSVILLE
State	:	MN
Zip	:	55337-1985
Country	:	US
Telephone Number	:	612-458-9086
Fax Number	:

Provider Business Practice Location Address
First Line	:	2441 WILLIAMS DR
Second Line	:
City	:	BURNSVILLE
State	:	MN
Zip	:	55337-1985
Country	:	US
Telephone Number	:	612-458-9086
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MS. HELLEN KAGENDO KUBAI
Credential	:	CO PARTNER
Telephone Number	:	612-458-9086

Provider Enumeration Date	:	07/15/2024
Last Update Date	:	07/15/2024

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