Provider Demographics
NPI:1083081954
Name:HARMONY HOMES INC.
Entity Type:Organization
Organization Name:HARMONY HOMES INC.
Other - Org Name:GOETHE HOUSE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:QIDP
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:WINANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-449-1605
Mailing Address - Street 1:1034 W MESA AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93711-2001
Mailing Address - Country:US
Mailing Address - Phone:559-449-1605
Mailing Address - Fax:559-449-1552
Practice Address - Street 1:6429 N ELLENDALE AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-2410
Practice Address - Country:US
Practice Address - Phone:559-271-9803
Practice Address - Fax:559-449-1552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-27
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities