Provider Demographics
NPI:1710573423
Name:HARMONIOUS HOME HEALTH CARE
Entity Type:Organization
Organization Name:HARMONIOUS HOME HEALTH CARE
Other - Org Name:HARMONIOUS HOME CARE,LLP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:
Authorized Official - Last Name:DESAUSSURE
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:843-475-1062
Mailing Address - Street 1:600 E WASHINGTON ST STE 608
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2971
Mailing Address - Country:US
Mailing Address - Phone:864-203-3971
Mailing Address - Fax:864-203-3832
Practice Address - Street 1:600 E WASHINGTON ST STE 608
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-2971
Practice Address - Country:US
Practice Address - Phone:864-203-3971
Practice Address - Fax:864-203-3832
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-16
Last Update Date:2020-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1710573423Medicaid