Provider Demographics
NPI:1497925614
Name:HARMONY HOME HEALTH CARE
Entity Type:Organization
Organization Name:HARMONY HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ADELITA
Authorized Official - Middle Name:YIA
Authorized Official - Last Name:SIBULO
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:503-649-7195
Mailing Address - Street 1:19665 SW TUALATIN VALLEY HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97006
Mailing Address - Country:US
Mailing Address - Phone:503-649-7195
Mailing Address - Fax:503-649-7236
Practice Address - Street 1:19665 SW TUALATIN VALLEY HWY
Practice Address - Street 2:SUITE B
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97006-2352
Practice Address - Country:US
Practice Address - Phone:503-649-7195
Practice Address - Fax:503-649-7236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR13-1398251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health