Provider Demographics
NPI:1225831829
Name:HARMONY CARE HAVEN
Entity type:Organization
Organization Name:HARMONY CARE HAVEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ENIOLA
Authorized Official - Middle Name:R
Authorized Official - Last Name:BANKEFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-459-1911
Mailing Address - Street 1:14759 LE CLAIRE AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:IL
Mailing Address - Zip Code:60445-3570
Mailing Address - Country:US
Mailing Address - Phone:312-459-1911
Mailing Address - Fax:
Practice Address - Street 1:14759 LE CLAIRE AVE
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:IL
Practice Address - Zip Code:60445-3570
Practice Address - Country:US
Practice Address - Phone:312-459-1911
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-29
Last Update Date:2025-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health