1720230428 NPI number — HARMONY HEALTH PLAN, INC.

Table of content: (NPI 1720230428)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720230428 NPI number — HARMONY HEALTH PLAN, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARMONY HEALTH PLAN, 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:
6
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:
1720230428
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/05/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8735 HENDERSON RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
TAMPA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33634-1143
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-782-7800
Provider Business Mailing Address Fax Number:
615-782-7823

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7100 COMMERCE WAY
Provider Second Line Business Practice Location Address:
SUITE 285
Provider Business Practice Location Address City Name:
BRENTWOOD
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37027-2829
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-782-7800
Provider Business Practice Location Address Fax Number:
615-782-7823
Provider Enumeration Date:
10/14/2008

Additional Information

Authorized Official

Authorized Official Last Name:
HABER
Authorized Official First Name:
MICHAEL
Authorized Official Middle Name:
Authorized Official Title or Position:
SECRETARY
Authorized Official Telephone Number:
813-206-2702

Provider Taxonomy Codes

  • Taxonomy code: 302R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: S2505 . This is a "MEDICARE ADVANTAGE CONTRACT NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: H5698 . This is a "MEDICARE ADVANTAGE CONTRACT NUMBER" identifier . This identifiers is of the category "OTHER".
  • Identifier: H1850 . This is a "MEDICARE ADVANTAGE CONTRACT NUMBER" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com