Provider Demographics
NPI:1740756774
Name:HOMES FOR HARMONY
Entity Type:Organization
Organization Name:HOMES FOR HARMONY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLUBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-617-3255
Mailing Address - Street 1:1104 STEELE LN
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75022-4327
Mailing Address - Country:US
Mailing Address - Phone:210-617-3255
Mailing Address - Fax:
Practice Address - Street 1:1104 STEELE LN
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75022-4327
Practice Address - Country:US
Practice Address - Phone:210-617-3255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No177F00000XOther Service ProvidersLodging
No251S00000XAgenciesCommunity/Behavioral Health
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness