Organization Active NPI

Harmony Life, LLC

  • Multi-Specialty Clinic/Center
  • West Palm Beach, FL
National Provider Identifier
1528728565
Registry record updated Sep 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HARMONY LIFE, LLC
Practice address
8895 N Military TRL Ste 203C
West Palm Beach, FL 33410-6261
Phone
(772) 310-8785
Fax
(949) 561-5660
NPI assigned
Dec 17, 2021
Last updated
Sep 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2023

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

Authorized official

Name
Amie Degraff
Title
Credentialing
Phone
(904) 490-8496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

8895 N Military TRL Ste 203C
West Palm Beach, FL 33410-6261

Mailing address

8895 N Military TRL Ste 203C
West Palm Beach, FL 33410-6261
Phone (772) 310-8785

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211229001448 FL Part B Supplier - Clinic/Group Practice 0941691984 Receives reassigned benefits from 2 practitioners
Practice locations: West Palm Beach, FL

National Provider Directory

National Provider Directory

Locations

8895 N Military Trl
Ste 203C
West Palm Beach, FL 33410
Phone (754) 270-6322

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695945600000",
    "number": "1528728565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRL STE 203C",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106261",
            "telephone_number": "772-310-8785",
            "fax_number": "949-561-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRL STE 203C",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106261",
            "telephone_number": "772-310-8785",
            "fax_number": "949-561-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY LIFE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2023-09-29",
        "certification_date": "2023-09-29",
        "status": "A",
        "authorized_official_last_name": "DEGRAFF",
        "authorized_official_first_name": "AMIE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "904-490-8496"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.