1841442407 NPI number — HARMONY FAMILY SERVICES LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841442407 NPI number — HARMONY FAMILY SERVICES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARMONY FAMILY SERVICES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841442407
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/15/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
221 CHESTNUT STREET - B02
Provider Second Line Business Mailing Address:
HARMONY FAMILY SERVICES LLC.
Provider Business Mailing Address City Name:
ROSELLE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07203-1138
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
917-623-3634
Provider Business Mailing Address Fax Number:
908-245-6561

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
221 CHESTNUT STREET - B02
Provider Second Line Business Practice Location Address:
HARMONY FAMILY SERVICES, LLC.
Provider Business Practice Location Address City Name:
ROSELLE
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07203-1138
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
917-623-3634
Provider Business Practice Location Address Fax Number:
908-245-6561
Provider Enumeration Date:
10/15/2008

Additional Information

Authorized Official

Authorized Official Last Name:
POWELL
Authorized Official First Name:
SANDRA
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
917-623-3634

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  44SC00527800 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0161632 , issued by the state of ( NJ ) . This identifiers is of the category "MEDICAID".




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