Provider Demographics
NPI:1164670956
Name:HALIFAX HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:HALIFAX HEALTH SERVICES LLC
Other - Org Name:ACCENTCARE HOME HEALTH OF DAYTONA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AO
Authorized Official - Prefix:
Authorized Official - First Name:DENA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-201-3819
Mailing Address - Street 1:225 W MULBERRY ST
Mailing Address - Street 2:SUITE 102 ATTN MECCA
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-8157
Mailing Address - Country:US
Mailing Address - Phone:402-202-0749
Mailing Address - Fax:844-595-5182
Practice Address - Street 1:1200 W GRANADA BLVD STE 4
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-8157
Practice Address - Country:US
Practice Address - Phone:386-872-4700
Practice Address - Fax:386-322-1760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-04
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL299992196251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL108361Medicare Oscar/Certification