Provider Demographics
NPI:1518624311
Name:HARBOR MCKINNEY OPERATING LLC
Entity Type:Organization
Organization Name:HARBOR MCKINNEY OPERATING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-492-5002
Mailing Address - Street 1:265 PLATEAU DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75069-1328
Mailing Address - Country:US
Mailing Address - Phone:469-712-7660
Mailing Address - Fax:469-712-7661
Practice Address - Street 1:265 PLATEAU DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-1328
Practice Address - Country:US
Practice Address - Phone:469-712-7660
Practice Address - Fax:469-712-7661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-29
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility