Provider Demographics
| NPI: | 1619353091 |
|---|---|
| Name: | HARMONY HOMES INC. |
| Entity type: | Organization |
| Organization Name: | HARMONY HOMES INC. |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | QIDP |
| Authorized Official - Prefix: | MR |
| Authorized Official - First Name: | JEREMY |
| Authorized Official - Middle Name: | DAVID |
| Authorized Official - Last Name: | WINANS |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 559-905-9806 |
| Mailing Address - Street 1: | 1034 W MESA AVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | FRESNO |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 93711-2001 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 559-449-1605 |
| Mailing Address - Fax: | 559-449-1552 |
| Practice Address - Street 1: | 6404 N CORNELIA AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | FRESNO |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 93722-3645 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 559-271-5245 |
| Practice Address - Fax: | 559-449-1552 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2015-08-07 |
| Last Update Date: | 2015-08-07 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| CA | 315P00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities |