Provider Demographics
NPI:1508737131
Name:HARMONY ASSISTED LIVING
Entity type:Organization
Organization Name:HARMONY ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:NIMA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-910-3792
Mailing Address - Street 1:1519 LYDIA AVE W
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-1662
Mailing Address - Country:US
Mailing Address - Phone:763-910-3792
Mailing Address - Fax:612-246-4200
Practice Address - Street 1:1519 LYDIA AVE W
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-1662
Practice Address - Country:US
Practice Address - Phone:763-910-3792
Practice Address - Fax:612-246-4200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-16
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251E00000XAgenciesHome Health