1720353584 NPI number — HARMONY CENTER, INCORPORATED

Table of content: (NPI 1720353584)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720353584 NPI number — HARMONY CENTER, INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HARMONY CENTER, INCORPORATED
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:
1720353584
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/13/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2736 FLORIDA BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BATON ROUGE
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70802-2719
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
985-229-9624
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1363 3RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KENTWOOD
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70444-3319
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
985-229-9624
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/13/2012

Additional Information

Authorized Official

Authorized Official Last Name:
TEMPLE
Authorized Official First Name:
COLLIS
Authorized Official Middle Name:
Authorized Official Title or Position:
CHIEF EXECUTIVE OFFICER
Authorized Official Telephone Number:
225-383-9139

Provider Taxonomy Codes

  • Taxonomy code: 320900000X , with the licence number:  9751 , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1716987 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1439444 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1713902 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1715425 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1717070 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 193070 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1713571 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1457914 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1713210 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1713481 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1717177 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1156043 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1717231 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1457906 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 1717240 , issued by the state of ( LA ) . This identifiers is of the category "MEDICAID".




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