| Harmony At Home Provider Services Llc | |
|
1504 Santa Rosa Rd Rm 114 Henrico VA 23229-5109 | |
| (804) 210-3103 | |
| Not Available |
| Full Name | Harmony At Home Provider Services Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1504 Santa Rosa Rd Rm 114, Henrico, Virginia |
| Authorized Official Name and Position | Will Saunders (CEO) |
| Authorized Official Contact | 8046772028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Harmony At Home Provider Services Llc 1504 Santa Rosa Rd Rm 114 Henrico VA 23229-5109 Ph: (804) 210-3103 | Harmony At Home Provider Services Llc 1504 Santa Rosa Rd Rm 114 Henrico VA 23229-5109 Ph: (804) 210-3103 |
| NPI Number | 1245985415 |
|---|---|
| Provider Enumeration Date | 02/16/2022 |
| Last Update Date | 03/26/2024 |
| Medicare PECOS PAC ID | 4587030804 |
|---|---|
| Medicare Enrollment ID | O20221011002934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245985415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Altory M Miranda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871891507 PECOS PAC ID: 5991988438 Enrollment ID: I20110531000167 |
| Provider Name | Jennifer Dietrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821496720 PECOS PAC ID: 5597089185 Enrollment ID: I20150211001615 |
| Provider Name | Nathaniel S Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275923690 PECOS PAC ID: 5799003968 Enrollment ID: I20150420001066 |
| Provider Name | Anna M Kutcher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083940738 PECOS PAC ID: 4688961550 Enrollment ID: I20160920001876 |
| Provider Name | Sonya Harris Almond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700397072 PECOS PAC ID: 7012275282 Enrollment ID: I20171215001385 |
| Provider Name | Monique R Floyd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982110326 PECOS PAC ID: 6002178480 Enrollment ID: I20180322002688 |
| Provider Name | Carlita Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275170417 PECOS PAC ID: 6406286046 Enrollment ID: I20200506002183 |
| Provider Name | Michelle Puzon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700416971 PECOS PAC ID: 8224438023 Enrollment ID: I20210616001216 |
| Provider Name | Michelle Hope Conover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558964262 PECOS PAC ID: 3173916848 Enrollment ID: I20220202001796 |
| Provider Name | Adam C Perry |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1467569947 PECOS PAC ID: 3072425677 Enrollment ID: I20230109001884 |
| Provider Name | Laura Louise Berry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699474171 PECOS PAC ID: 3476912262 Enrollment ID: I20230712000070 |
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