Active NPI
Harmony Haven Residential Living LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Euless, TX
National Provider Identifier
1871339192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.