Organization Active NPI

Harmony Health Center Perris LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Perris, CA
National Provider Identifier
1780455501
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
HARMONY HEALTH CENTER PERRIS LLC
Practice address
305 E 4TH St Ste 100
Perris, CA 92570-2279
Phone
(303) 468-0020
Fax
(303) 568-7753
NPI assigned
Jan 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Mr. Robert Louis Kershner
Title
Manager
Phone
(303) 859-2742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

305 E 4TH St Ste 100
Perris, CA 92570-2279

Mailing address

6650 Gunpark Dr Ste 100
Boulder, CO 80301-7003
Phone (303) 468-0020

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2320413Harmony Health Center Perris LLC305 E 4TH St, Ste 100, Perris, CA 92570Certificate of waiverMar 17, 2027

National Provider Directory

National Provider Directory

Locations

305 E 4th St
Ste 100
Perris, CA 92570
Phone (303) 468-0020

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1780455501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 GUNPARK DR STE 100",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803017003",
            "telephone_number": "303-468-0020",
            "fax_number": "303-568-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 E 4TH ST STE 100",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925702279",
            "telephone_number": "303-468-0020",
            "fax_number": "303-568-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY HEALTH CENTER PERRIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "KERSHNER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "303-859-2742",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.