Halcyon 91' LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

HALCYON 91' LLC

Doing business as

Halcyon 91'

Practice address

7989 Nolpark CT
Glen Burnie, MD 21061-5235

Phone

(667) 305-5312

NPI assigned

Jan 22, 2025

Last updated

Feb 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Shantanece Harmon, CERTIFIEDNPI 1801602495

Title

Cranial Prosthesis Specialist

Phone

(667) 305-5312

Specialties & licenses 2

Addresses

Other names 1

• Halcyon 91' Doing business as

Practitioners 1

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.

• Shantanece Harmon

  • Prosthetic/Orthotic Supplier
  • Glen Burnie, MD
  • NPI 1801602495
  NPD Authorized official

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1629880208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2164",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210602164",
            "telephone_number": "667-305-5312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7989 NOLPARK CT",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615235",
            "telephone_number": "667-305-5312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCYON 91' LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "SHANTANECE",
        "authorized_official_title_or_position": "CRANIAL PROSTHESIS SPECIALIST",
        "authorized_official_telephone_number": "667-305-5312",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CERTIFIED"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halcyon 91'",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christine Marie Habersaat, CPNP
• Fady Ayed Haddad, D.D.S.
• Jenny Ranae Hahne, O.D.
• Constance Davis Haines, OTR
• Yasaman Hakakian, D.M.D.
• Dalton Monzellroe Hall Jr., SA-C
• Joseph Kevin Hall Jr.
• Nancy M Hall, OTR
• Timothy James Hall, CRNP
• Max Hamaker, MD

• Prosthetic/Orthotic Supplier in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Prosthetic/Orthotic Supplier in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.