Provider Demographics
NPI:1881498947
Name:HARMONY AT NEWBERRY ASSISTED LIVING FACILITY, LLC.
Entity type:Organization
Organization Name:HARMONY AT NEWBERRY ASSISTED LIVING FACILITY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KELVIN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:GARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-777-5092
Mailing Address - Street 1:23134 NW 5TH PL
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32669-3553
Mailing Address - Country:US
Mailing Address - Phone:813-777-5092
Mailing Address - Fax:
Practice Address - Street 1:23134 NW 5TH PL
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:FL
Practice Address - Zip Code:32669-3553
Practice Address - Country:US
Practice Address - Phone:813-777-5092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility