Provider Demographics
NPI:1043081318
Name:HARMONY HOME RESIDENCIAL LLC
Entity Type:Organization
Organization Name:HARMONY HOME RESIDENCIAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NKENZA
Authorized Official - Middle Name:SOLANGE
Authorized Official - Last Name:BEZA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:571-343-0829
Mailing Address - Street 1:2923 MEDFORD DR
Mailing Address - Street 2:
Mailing Address - City:DUMFRIES
Mailing Address - State:VA
Mailing Address - Zip Code:22026-4542
Mailing Address - Country:US
Mailing Address - Phone:571-343-0829
Mailing Address - Fax:
Practice Address - Street 1:2923 MEDFORD DR
Practice Address - Street 2:
Practice Address - City:DUMFRIES
Practice Address - State:VA
Practice Address - Zip Code:22026-4542
Practice Address - Country:US
Practice Address - Phone:571-343-0829
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-15
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care