Provider Demographics
NPI:1780436931
Name:HALO'S HOME CARE LLC
Entity type:Organization
Organization Name:HALO'S HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KESHEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-764-8568
Mailing Address - Street 1:228 E 141ST PL
Mailing Address - Street 2:
Mailing Address - City:DOLTON
Mailing Address - State:IL
Mailing Address - Zip Code:60419-1106
Mailing Address - Country:US
Mailing Address - Phone:312-764-8568
Mailing Address - Fax:
Practice Address - Street 1:3615 ORCHARD DR
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46323-2975
Practice Address - Country:US
Practice Address - Phone:312-764-8568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care