Provider Demographics
NPI:1457240178
Name:HARMONY RESIDENTIAL CARE SERVICES LLC
Entity type:Organization
Organization Name:HARMONY RESIDENTIAL CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OLIVIER
Authorized Official - Middle Name:
Authorized Official - Last Name:NGAMATA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-306-0726
Mailing Address - Street 1:10428 SOUTHERWICK PL
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2560
Mailing Address - Country:US
Mailing Address - Phone:210-306-0726
Mailing Address - Fax:
Practice Address - Street 1:10428 SOUTHERWICK PL
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-2560
Practice Address - Country:US
Practice Address - Phone:210-306-0726
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness