Provider Demographics
NPI:1669828752
Name:HALO HOME CARE LLC
Entity Type:Organization
Organization Name:HALO HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAXWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-706-7966
Mailing Address - Street 1:250 NORTH AVE
Mailing Address - Street 2:UNIT A
Mailing Address - City:ABINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02351-1894
Mailing Address - Country:US
Mailing Address - Phone:781-706-7966
Mailing Address - Fax:781-421-3476
Practice Address - Street 1:250 NORTH AVE
Practice Address - Street 2:UNIT A
Practice Address - City:ABINGTON
Practice Address - State:MA
Practice Address - Zip Code:02351-1894
Practice Address - Country:US
Practice Address - Phone:781-706-7966
Practice Address - Fax:781-421-3476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-09
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health