Basic Information
| Provider Information | |||||||||
| NPI: | 1225176852 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HARMONY ADHC, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 725 MYLES STANDISH BLVD | ||||||||
| Address2: | |||||||||
| City: | TAUNTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02780 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5088803000 | ||||||||
| FaxNumber: | 5088803008 | ||||||||
| Practice Location | |||||||||
| Address1: | 725 MYLES STANDISH BOULEVARD | ||||||||
| Address2: | SUITE A | ||||||||
| City: | TAUNTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02780 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5088803000 | ||||||||
| FaxNumber: | 5088803008 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/04/2007 | ||||||||
| LastUpdateDate: | 11/29/2010 | ||||||||
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| AuthorizedOfficialLastName: | NARDELLA | ||||||||
| AuthorizedOfficialFirstName: | DARCY | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 5088803000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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| AuthorizedOfficialCredential: | R.N., M.S.N. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QA0600X | 1906011 | MA | N | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care | 261QA0600X | 1913131 | MA | Y | Ambulatory Health Care Facilities | Clinic/Center | Adult Day Care |
ID Information
| ID | Type | State | Issuer | Description | 1913131 | 05 | MA | MEDICAID | 1906011 | 05 | MA | MEDICAID |