Provider Demographics
NPI:1205980240
Name:HARMONY HOME HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:HARMONY HOME HEALTH SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:DOMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-281-0537
Mailing Address - Street 1:5650 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-5796
Mailing Address - Country:US
Mailing Address - Phone:801-281-0537
Mailing Address - Fax:801-266-3482
Practice Address - Street 1:5700 HARPER DR NE
Practice Address - Street 2:SUITE 280
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3573
Practice Address - Country:US
Practice Address - Phone:505-828-2273
Practice Address - Fax:505-898-1449
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARMONY HOME HEALTH SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-01-23
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM3181251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM48688819Medicaid
NM71037781Medicaid
NM79831281Medicaid
NM327187Medicare Oscar/Certification
NM79831281Medicaid