Provider Demographics
NPI:1245191261
Name:HARMONY SUPPORTIVE SERVICES LLC
Entity type:Organization
Organization Name:HARMONY SUPPORTIVE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADAN
Authorized Official - Middle Name:ABDIAZIZ
Authorized Official - Last Name:KASSIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-339-9907
Mailing Address - Street 1:4321 W COLLEGE AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54914-3968
Mailing Address - Country:US
Mailing Address - Phone:763-339-9907
Mailing Address - Fax:
Practice Address - Street 1:4321 W COLLEGE AVE STE 200
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54914-3968
Practice Address - Country:US
Practice Address - Phone:763-339-9907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management