Provider Demographics
NPI:1407504699
Name:HARMONEE AT HOME CARE SERVICE LLC
Entity Type:Organization
Organization Name:HARMONEE AT HOME CARE SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:WYNN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-313-8754
Mailing Address - Street 1:725 S HUALAPAI WAY APT 2085
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89145-8842
Mailing Address - Country:US
Mailing Address - Phone:414-313-8754
Mailing Address - Fax:
Practice Address - Street 1:725 S HUALAPAI WAY APT 2085
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89145-8842
Practice Address - Country:US
Practice Address - Phone:414-313-8754
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-16
Last Update Date:2022-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care