Provider Demographics
NPI:1629025192
Name:HARMONY HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:HARMONY HOME HEALTH SERVICES, LLC
Other - Org Name:HARMONY HOME HEALTH AND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:DOMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-281-0537
Mailing Address - Street 1:5650 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84123-5796
Mailing Address - Country:US
Mailing Address - Phone:801-281-0537
Mailing Address - Fax:801-266-3482
Practice Address - Street 1:5650 GREEN ST
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84123-5796
Practice Address - Country:US
Practice Address - Phone:801-281-0537
Practice Address - Fax:801-266-3482
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT2013-HHA-106110251E00000X
UT2013-HOSPICE -937251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT840561478001Medicaid
UT=========002Medicaid
UT=========001Medicaid
UT=========003Medicaid
UT840561478001Medicaid
UT=========021Medicaid
UT=========017Medicaid
UT=========OtherREGENCE BLUE CROSS BLUE SHIELD OF UTAH
UT461519Medicare ID - Type UnspecifiedCAHABA