Provider Demographics
NPI:1790466415
Name:HARMONIOUS HOMES RESIDIENTIAL ASSISTED LIVING FACILITY LLC
Entity Type:Organization
Organization Name:HARMONIOUS HOMES RESIDIENTIAL ASSISTED LIVING FACILITY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAWIYAH EL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-972-1142
Mailing Address - Street 1:2353 NW 96TH WAY
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-4980
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4838 NW 93RD TER
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-5220
Practice Address - Country:US
Practice Address - Phone:305-972-1142
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty