Provider Demographics
NPI:1003287244
Name:HARB ENTERPRISES LLC
Entity Type:Organization
Organization Name:HARB ENTERPRISES LLC
Other - Org Name:MIDWAY MANOR ALF
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HUSSEIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-586-1969
Mailing Address - Street 1:1754 ENSLEY AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33756-7221
Mailing Address - Country:US
Mailing Address - Phone:727-586-1969
Mailing Address - Fax:727-585-3207
Practice Address - Street 1:1754 ENSLEY AVE
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33756-7221
Practice Address - Country:US
Practice Address - Phone:727-586-1969
Practice Address - Fax:727-585-3207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-14
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL8632310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility