Provider Demographics
NPI:1871815803
Name:HARMONY HOUSE CARE HOMES, INC.
Entity Type:Organization
Organization Name:HARMONY HOUSE CARE HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OF THE BOARD
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:HIRAM
Authorized Official - Last Name:HAGAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-988-8316
Mailing Address - Street 1:114-A SW STATE 7 HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:BLUE SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64014
Mailing Address - Country:US
Mailing Address - Phone:816-988-8316
Mailing Address - Fax:816-988-8317
Practice Address - Street 1:114-A SW STATE 7 HIGHWAY
Practice Address - Street 2:
Practice Address - City:BLUE SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64014
Practice Address - Country:US
Practice Address - Phone:816-988-8316
Practice Address - Fax:816-988-8317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-18
Last Update Date:2010-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1483-11552251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO853465706Medicaid
MO853465714Medicaid
MO856040803Medicaid
MO853465722Medicaid
MO855047908Medicaid