MEDICARE: HARMONY HEARTS HOME CARE 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	3747A0650X	Attendant Care Provider
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1861258634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY HEARTS HOME CARE LLC

Provider Business Mailing Address
First Line	:	2510 THOMPSON AVE
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46807-1051
Country	:	US
Telephone Number	:	463-325-1408
Fax Number	:

Provider Business Practice Location Address
First Line	:	2510 THOMPSON AVE
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46807-1051
Country	:	US
Telephone Number	:	463-325-1408
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DONZHAE DEVON LEE
Credential	:
Telephone Number	:	463-325-1408

Provider Enumeration Date	:	02/27/2024
Last Update Date	:	09/16/2025

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