MEDICARE: HARMONY 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	:	1861801821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1111 W EL CAMINO REAL
Second Line	:	STE. 109 P.O. BOX 312
City	:	SUNNYVALE
State	:	CA
Zip	:	94087-1056
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	295 89TH ST
Second Line	:	SUITE 307
City	:	DALY CITY
State	:	CA
Zip	:	94015-1653
Country	:	US
Telephone Number	:	650-731-4566
Fax Number	:	650-648-0712

Authorized Official
Title or Position	:	CEO/ADMINISTRATOR
Name	:	JOHN MICHAEL CHAVEZ
Credential	:
Telephone Number	:	408-598-5944

Provider Enumeration Date	:	08/04/2014
Last Update Date	:	08/04/2014

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