Organization Active NPI

Harmony Homecare LLC

  • In Home Supportive Care Agency
  • Coos Bay, OR
National Provider Identifier
1164891651
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
152130 Issued in OR
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
525736MedicaidOR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.