Provider Demographics
NPI:1891265062
Name:HALO HOME CARE SERVICES
Entity Type:Organization
Organization Name:HALO HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:TILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-792-2717
Mailing Address - Street 1:800 COMPTON RD UNIT 27
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-3850
Mailing Address - Country:US
Mailing Address - Phone:513-792-2717
Mailing Address - Fax:513-672-1101
Practice Address - Street 1:800 COMPTON RD UNIT 27
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-3850
Practice Address - Country:US
Practice Address - Phone:513-792-2717
Practice Address - Fax:513-672-1101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health