Provider Demographics
NPI:1619739190
Name:HALO HOME CARE LLC
Entity Type:Organization
Organization Name:HALO HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ABBY
Authorized Official - Middle Name:
Authorized Official - Last Name:ASQUITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-897-5317
Mailing Address - Street 1:2 LOGAN SQ STE 300
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-2733
Mailing Address - Country:US
Mailing Address - Phone:267-897-5317
Mailing Address - Fax:
Practice Address - Street 1:2 LOGAN SQ STE 300
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-2733
Practice Address - Country:US
Practice Address - Phone:267-897-5317
Practice Address - Fax:267-363-1908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No253Z00000XAgenciesIn Home Supportive Care