Provider Demographics
NPI:1639950116
Name:HARMONY HEALS HOME HEALTHCARE LLC
Entity Type:Organization
Organization Name:HARMONY HEALS HOME HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BIANCA
Authorized Official - Middle Name:
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-830-8171
Mailing Address - Street 1:104 LAKE POINT DR
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERS
Mailing Address - State:MO
Mailing Address - Zip Code:63376-1816
Mailing Address - Country:US
Mailing Address - Phone:314-830-8171
Mailing Address - Fax:888-668-6552
Practice Address - Street 1:104 LAKE POINT DR
Practice Address - Street 2:
Practice Address - City:SAINT PETERS
Practice Address - State:MO
Practice Address - Zip Code:63376-1816
Practice Address - Country:US
Practice Address - Phone:314-830-8171
Practice Address - Fax:888-668-6552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health