Active NPI
Harmony Homecare LLC
- In Home Supportive Care Agency
- Coos Bay, OR
National Provider Identifier
1164891651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 152130
- Legal business name
- HARMONY HOMECARE LLC
- Practice address
- 682 Anderson Ave
Coos Bay, OR 97420-1632 - Phone
- (541) 267-3190
- Fax
- (541) 269-7723
- NPI assigned
- Sep 15, 2015
- Last updated
- Sep 15, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathleen Alice Forrester
- Title
- Administrator
- Phone
- (541) 267-3190
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 152130 | OR | Primary |
Addresses
Primary practice location
682 Anderson Ave
Coos Bay, OR 97420-1632
Mailing address
3696 Broadway Ave
208
North Bend, OR 97459-2200
Phone (541) 267-3190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 525736 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
682 Anderson Ave
Coos Bay, OR 97420
Phone (541) 290-9707
3696 Broadway Ave
North Bend, OR 97459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442275200000",
"number": "1164891651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3696 BROADWAY AVE",
"address_2": "208",
"city": "NORTH BEND",
"state": "OR",
"postal_code": "974592200",
"telephone_number": "541-267-3190",
"fax_number": "541-269-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "682 ANDERSON AVE",
"city": "COOS BAY",
"state": "OR",
"postal_code": "974201632",
"telephone_number": "541-267-3190",
"fax_number": "541-269-7723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARMONY HOMECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-15",
"last_updated": "2015-09-15",
"status": "A",
"authorized_official_last_name": "FORRESTER",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_middle_name": "ALICE",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "541-267-3190",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "OR",
"license": "152130",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "525736",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coos Bay, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.