Provider Demographics
NPI:1336737014
Name:HARMONY HOME MEDICAL LLC
Entity type:Organization
Organization Name:HARMONY HOME MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANCSIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-212-8005
Mailing Address - Street 1:1002 CORPUS CHRISTI ST STE 2
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78040-5265
Mailing Address - Country:US
Mailing Address - Phone:956-212-8005
Mailing Address - Fax:
Practice Address - Street 1:1002 CORPUS CHRISTI ST STE 2
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78040-5265
Practice Address - Country:US
Practice Address - Phone:956-212-8005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-07
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX803882677OtherTX SOS