Provider Demographics
NPI:1033317490
Name:HARVEST HOME NETWORK INC
Entity Type:Organization
Organization Name:HARVEST HOME NETWORK INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PASCALE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-292-9347
Mailing Address - Street 1:2050 NW 185TH WAY
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-3862
Mailing Address - Country:US
Mailing Address - Phone:954-292-9347
Mailing Address - Fax:954-499-0927
Practice Address - Street 1:2050 NW 185TH WAY
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-3862
Practice Address - Country:US
Practice Address - Phone:954-292-9347
Practice Address - Fax:954-499-0927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health