Provider Demographics
NPI:1972185841
Name:THE HARMONY HOME, LLC
Entity Type:Organization
Organization Name:THE HARMONY HOME, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KENDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBOTTOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-554-1484
Mailing Address - Street 1:PO BOX 1794
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:CO
Mailing Address - Zip Code:80751-1794
Mailing Address - Country:US
Mailing Address - Phone:970-554-1484
Mailing Address - Fax:
Practice Address - Street 1:1620 E RIVERVIEW AVE
Practice Address - Street 2:
Practice Address - City:FORT MORGAN
Practice Address - State:CO
Practice Address - Zip Code:80701-3755
Practice Address - Country:US
Practice Address - Phone:970-554-1484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-21
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility