Provider Demographics
NPI:1184516403
Name:HARMONIOUS CARE SERVICES ILLINOIS LLC
Entity type:Organization
Organization Name:HARMONIOUS CARE SERVICES ILLINOIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DICKSON
Authorized Official - Middle Name:
Authorized Official - Last Name:EFFAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-655-8155
Mailing Address - Street 1:2100 ILLINI RD
Mailing Address - Street 2:
Mailing Address - City:LELAND GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:62704-4366
Mailing Address - Country:US
Mailing Address - Phone:202-655-8155
Mailing Address - Fax:
Practice Address - Street 1:3161 W WHITE OAKS DR STE 203
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-7407
Practice Address - Country:US
Practice Address - Phone:202-655-8155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care