1215141569 NPI number — HARMONY HEALTH CARE, INC.

Table of content: (NPI 1215141569)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215141569 NPI number — HARMONY HEALTH CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARMONY HEALTH CARE, INC.
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:
1215141569
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/16/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1702L MERIDIAN AVE # 296
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SAN JOSE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95125-5534
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
408-676-8140
Provider Business Mailing Address Fax Number:
866-430-3312

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
670 N MCCARTHY BLVD
Provider Second Line Business Practice Location Address:
SUITE 220
Provider Business Practice Location Address City Name:
MILPITAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95035-5119
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
408-676-8140
Provider Business Practice Location Address Fax Number:
866-430-3312
Provider Enumeration Date:
05/09/2007

Additional Information

Authorized Official

Authorized Official Last Name:
LIM
Authorized Official First Name:
JENELYN
Authorized Official Middle Name:
CHING
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
408-676-8140

Provider Taxonomy Codes

  • Taxonomy code: 207RH0002X , with the licence number:  A67246 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 004271673 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: DG3100 . This is a "MEDICARE RAILROAD" identifier , issued by the state of ( CT ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com