Provider Demographics
NPI:1154716728
Name:HARMONYHEALTHCARE TRANS
Entity type:Organization
Organization Name:HARMONYHEALTHCARE TRANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMOVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-505-4774
Mailing Address - Street 1:800 GIBSON DR
Mailing Address - Street 2:415
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-5775
Mailing Address - Country:US
Mailing Address - Phone:916-521-0085
Mailing Address - Fax:
Practice Address - Street 1:1101 WHITNEY RANCH PKWY APT 937
Practice Address - Street 2:
Practice Address - City:ROCKLIN
Practice Address - State:CA
Practice Address - Zip Code:95765-6241
Practice Address - Country:US
Practice Address - Phone:916-505-4774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA012385343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)