Organization Active NPI

Harmony Residential Care LLC

  • Adult Care Home Facility
  • Caledonia, MI
National Provider Identifier
1992518526
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HARMONY RESIDENTIAL CARE LLC
Doing business as
NONE
Practice address
6684 Benton LN SE
Caledonia, MI 49316-8434
Phone
(208) 957-1870
NPI assigned
Jan 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Authorized official

Name
Fidele Ndabunguye
Title
Licensee
Phone
(208) 957-1870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

6684 Benton LN SE
Caledonia, MI 49316-8434

Mailing address

6684 Benton LN SE
Caledonia, MI 49316-8434
Phone (208) 957-1870

Other names 1

  • NONE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738022400000",
    "number": "1992518526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6684 BENTON LN SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168434",
            "telephone_number": "208-957-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6684 BENTON LN SE",
            "city": "CALEDONIA",
            "state": "MI",
            "postal_code": "493168434",
            "telephone_number": "208-957-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A",
        "authorized_official_last_name": "NDABUNGUYE",
        "authorized_official_first_name": "FIDELE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "208-957-1870"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caledonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.