Provider Demographics
NPI:1952290009
Name:HARMON, BEVERLY JALEYAH
Entity type:Individual
Prefix:
First Name:BEVERLY
Middle Name:JALEYAH
Last Name:HARMON
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2598 QUEEN CITY AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-2941
Mailing Address - Country:US
Mailing Address - Phone:513-376-4529
Mailing Address - Fax:
Practice Address - Street 1:2598 QUEEN CITY AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-2941
Practice Address - Country:US
Practice Address - Phone:513-376-4529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant