Provider Demographics
NPI:1003190570
Name:HALO HEALTHCARE CONCEPTS, INCORPORATED
Entity Type:Organization
Organization Name:HALO HEALTHCARE CONCEPTS, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHINIKA
Authorized Official - Middle Name:R
Authorized Official - Last Name:POLK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-565-0575
Mailing Address - Street 1:502 W OAK ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-0403
Mailing Address - Country:US
Mailing Address - Phone:940-565-0575
Mailing Address - Fax:940-239-0414
Practice Address - Street 1:502 W OAK ST
Practice Address - Street 2:SUITE 201
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-0403
Practice Address - Country:US
Practice Address - Phone:940-565-0575
Practice Address - Fax:940-239-0414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management
No253J00000XAgenciesFoster Care Agency
No253Z00000XAgenciesIn Home Supportive Care