Harmony Provider Care LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

HARMONY PROVIDER CARE LLC

Practice address

10428 W Chickasaw St
Tolleson, AZ 85353-1387

Phone

(480) 395-0233

NPI assigned

Apr 15, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dominic Paige

Title

Chief Administrative Officer

Phone

(480) 395-0233

Specialties & licenses 3

Addresses

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1336882505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15823 N 57TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546204",
            "telephone_number": "480-395-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10428 W CHICKASAW ST",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531387",
            "telephone_number": "480-395-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY PROVIDER CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-15",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "status": "A",
        "authorized_official_last_name": "PAIGE",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "480-395-0233"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Harmonyprovidercare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15823 N 57th St",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852546204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carmen Guerra Sosa, MD
• Susan Gugliotta
• Chris D. Gunderson, R.N.
• Ronald Ray Haddock Jr.
• Ami M Hamblin, LPN
• Harper Health PLLC
• Megi Heltemes, PHARMD
• Jenipher Hensley, RN
• Katherine Nicole Hermann
• Samantha Hernandez

• Mental Illness Community Based Residential Treatment Facility in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.