Provider Demographics
NPI:1730310228
Name:HARMONY FAMILY HEALTH CARE, LLC
Entity Type:Organization
Organization Name:HARMONY FAMILY HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CARLOTTA
Authorized Official - Middle Name:M G
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:CNM
Authorized Official - Phone:615-291-9923
Mailing Address - Street 1:404 DR D B TODD JR BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-2951
Mailing Address - Country:US
Mailing Address - Phone:615-291-9923
Mailing Address - Fax:615-678-6470
Practice Address - Street 1:3401 JOHN MALLETTE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37218-2672
Practice Address - Country:US
Practice Address - Phone:615-291-9923
Practice Address - Fax:615-442-8335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-31
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN 0000005739363LF0000X
APN0000011516363LX0001X
TNAPN0000005719363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & GynecologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1518184Medicaid
TN103G704521Medicare PIN