Provider Demographics
NPI:1366629974
Name:AAA HARMONY CARE, LLC
Entity Type:Organization
Organization Name:AAA HARMONY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DESIGNATED MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:DIRIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-646-9763
Mailing Address - Street 1:1451 MULLANPHY ST
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63106-3114
Mailing Address - Country:US
Mailing Address - Phone:314-621-2622
Mailing Address - Fax:
Practice Address - Street 1:1451 MULLANPHY ST
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63106-3114
Practice Address - Country:US
Practice Address - Phone:314-621-2622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-25
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO0009547251B00000X, 251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251B00000XAgenciesCase Management