Provider Demographics
NPI:1013615087
Name:HARMONY OF CHANGE LLC
Entity Type:Organization
Organization Name:HARMONY OF CHANGE LLC
Other - Org Name:SYNERGY HOMECARE OF WETHERSFIELD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF CLIENT SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITWORTH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:860-583-6062
Mailing Address - Street 1:433 SILAS DEANE HIGHWAY WETHERSFIELD, CT 06109
Mailing Address - Street 2:SECOND FLOOR ATTN: SYNERGY HOMECARE OF WETHERSFIELD
Mailing Address - City:WETHERSFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06109
Mailing Address - Country:US
Mailing Address - Phone:860-583-6062
Mailing Address - Fax:860-583-6062
Practice Address - Street 1:433 SILAS DEANE HIGHWAY WETHERSFIELD, CT 06109
Practice Address - Street 2:SECOND FLOOR ATTN: SYNERGY HOMECARE OF WETHERSFIELD
Practice Address - City:WETHERSFIELD
Practice Address - State:CT
Practice Address - Zip Code:06109-2119
Practice Address - Country:US
Practice Address - Phone:860-583-6062
Practice Address - Fax:860-583-6062
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care