MEDICARE: HARMONY CARE CONCEPTS AND MANAGEMENT, 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	163W00000X	Registered Nurse
2	163WC0400X	Case Management Registered Nurse

General Provider Information

NPI Number	:	1780152850
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY CARE CONCEPTS AND MANAGEMENT, LLC

Provider Business Mailing Address
First Line	:	PO BOX 30292
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73140-3292
Country	:	US
Telephone Number	:	405-476-5766
Fax Number	:

Provider Business Practice Location Address
First Line	:	3704 LARKWOOD DR
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73115-2824
Country	:	US
Telephone Number	:	405-476-5766
Fax Number	:

Authorized Official
Title or Position	:	RN
Name	:	TAMARA WEBB
Credential	:
Telephone Number	:	405-476-5766

Provider Enumeration Date	:	11/07/2018
Last Update Date	:	11/07/2018

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