Provider Demographics
NPI:1356875470
Name:HARMONY HCT LLC
Entity type:Organization
Organization Name:HARMONY HCT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGY
Authorized Official - Middle Name:
Authorized Official - Last Name:KELBATYROV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-677-1703
Mailing Address - Street 1:1198 MELODY LN
Mailing Address - Street 2:SUITE 105
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-5100
Mailing Address - Country:US
Mailing Address - Phone:916-677-1703
Mailing Address - Fax:916-677-1778
Practice Address - Street 1:1198 MELODY LN
Practice Address - Street 2:SUITE 105
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-5100
Practice Address - Country:US
Practice Address - Phone:916-677-1703
Practice Address - Fax:916-677-1778
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-14
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA00835356343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)