Provider Demographics
NPI:1235488073
Name:HARMONY PRIVATE HOME CARE, INC.
Entity Type:Organization
Organization Name:HARMONY PRIVATE HOME CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMEELAH
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:GATER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-210-6549
Mailing Address - Street 1:105 HARMONY XING
Mailing Address - Street 2:SUITE 3
Mailing Address - City:EATONTON
Mailing Address - State:GA
Mailing Address - Zip Code:31024-9522
Mailing Address - Country:US
Mailing Address - Phone:706-453-4355
Mailing Address - Fax:706-453-4355
Practice Address - Street 1:1240 LAKE DR
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:GA
Practice Address - Zip Code:30642-3525
Practice Address - Country:US
Practice Address - Phone:706-453-4355
Practice Address - Fax:706-453-4355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-07
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA117-R-0888251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health