Data Breach Notifications

Entity Information

  • Type of Organization: Healthcare
  • Entity Name: Ava Elaine Harrell
  • Street Address: 508 Eagle Bend Road
  • City: Clinton
  • State, or Country if outside the US: Tennessee
  • Zip Code: 37716

Submitted By

  • Name: Michael & Brandi Harrell
  • Title: Father & Mother
  • Firm name (if different than entity):
  • Telephone Number: 8652089922
  • Email Address: MichaelHarrell1586@gmail.com
  • Relationship to entity whose information was compromised: Father

Breach Information

  • Total number of persons affected (including residents): 1
  • Total number of Maine residents affected: 3
  • If the number of Maine residents exceeds 1,000, have the consumer reporting agencies been notified: Yes
  • Date(s) Breach Occured: 06/06/22
  • Date Breach Discovered: 04/19/22
  • Description of the Breach:
    • Inadvertent disclosure, External system breach (hacking), Insider wrongdoing, Internal system breach, Loss or theft of device or media (computer, laptop, external hard drive, thumb drive, CD, tape, etc.)
  • Information Acquired - Name or other personal identifier in combination with: Financial Account Number or Credit/Debit Card Number (in combination with security code, access code, password or PIN for the account)

Notification and Protection Services

  • Type of Notification: Telephone
  • Date(s) of consumer notification: 4/19/22
  • Copy of notice to affected Maine residents:
  • Date of any previous (within 12 months) breach notifications: 04/19/22
  • Were identity theft protection services offered: No
  • If yes, please provide the duration, the provider of the service and a brief description of the service: