Organization Active NPI

Harmony Haven Residential Living LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Euless, TX
National Provider Identifier
1871339192
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
HARMONY HAVEN RESIDENTIAL LIVING LLC
Practice address
3009 Penny LN
Euless, TX 76039-7826
Phone
(469) 491-7611
NPI assigned
Jul 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Olubunmi Deborah Canterbury
Title
Managing Director
Phone
(469) 491-7611

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3009 Penny LN
Euless, TX 76039-7826

Mailing address

17350 State Highway 249 Ste 220
Houston, TX 77064-1132
Phone (469) 491-7611

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1871339192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17350 STATE HIGHWAY 249 STE 220",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641132",
            "telephone_number": "469-491-7611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 PENNY LN",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760397826",
            "telephone_number": "469-491-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY HAVEN RESIDENTIAL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "CANTERBURY",
        "authorized_official_first_name": "OLUBUNMI",
        "authorized_official_middle_name": "DEBORAH",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "469-491-7611"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.