Provider Demographics
NPI:1326636937
Name:HALO HOME HEALTH CARE & TRANSPORTATION SVC,LLC
Entity Type:Organization
Organization Name:HALO HOME HEALTH CARE & TRANSPORTATION SVC,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHANELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-838-4884
Mailing Address - Street 1:301 W 1ST ST STE 204
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-3026
Mailing Address - Country:US
Mailing Address - Phone:937-528-3937
Mailing Address - Fax:
Practice Address - Street 1:301 W 1ST ST STE 204
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-3026
Practice Address - Country:US
Practice Address - Phone:937-528-3937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty