Provider Demographics
NPI:1205409281
Name:HARMONY VILLAS ONE INC.
Entity Type:Organization
Organization Name:HARMONY VILLAS ONE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLEM
Authorized Official - Middle Name:J
Authorized Official - Last Name:STURM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-937-2330
Mailing Address - Street 1:3545 MURRELL RD
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-4706
Mailing Address - Country:US
Mailing Address - Phone:321-877-4001
Mailing Address - Fax:321-877-4004
Practice Address - Street 1:3545 MURRELL RD
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-4706
Practice Address - Country:US
Practice Address - Phone:321-877-4001
Practice Address - Fax:321-877-4004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12979OtherAHCA