1194582171 NPI number — HARMONY HEARTS HOMECARE

Table of content: (NPI 1194582171)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194582171 NPI number — HARMONY HEARTS HOMECARE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARMONY HEARTS HOMECARE
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:
1194582171
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/15/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10900 RESEARCH BLVD STE 160C
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AUSTIN
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
78759-5718
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
979-249-6927
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
189 S MANSE AVE STE B5
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GIDDINGS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78942-3433
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
979-400-4892
Provider Business Practice Location Address Fax Number:
979-317-6567
Provider Enumeration Date:
03/05/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
PHOENIX
Authorized Official First Name:
RHODA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER/ADMINISTRATOR
Authorized Official Telephone Number:
979-249-6927

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 3747P1801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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