Provider Demographics
NPI:1922389923
Name:HARMONY PLACE
Entity Type:Organization
Organization Name:HARMONY PLACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:SETH
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:915-204-8267
Mailing Address - Street 1:4402 LOMA CASITAS RD
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-3774
Mailing Address - Country:US
Mailing Address - Phone:915-204-8267
Mailing Address - Fax:
Practice Address - Street 1:5820 SNARK LN
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-4936
Practice Address - Country:US
Practice Address - Phone:915-204-8267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-02
Last Update Date:2011-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility