Provider Demographics
NPI:1144253345
Name:HALO HOME HEALTH LLC
Entity type:Organization
Organization Name:HALO HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR, R.N., D.O.P.C.S.
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMMY
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:RANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-541-2449
Mailing Address - Street 1:1473 E ALTON GLOOR BLVD STE C&D
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-4356
Mailing Address - Country:US
Mailing Address - Phone:956-541-2449
Mailing Address - Fax:956-546-6163
Practice Address - Street 1:1473 E ALTON GLOOR BLVD STE C&D
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-4356
Practice Address - Country:US
Practice Address - Phone:956-541-2449
Practice Address - Fax:956-546-6163
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009266251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX172046801Medicaid
TX172046801Medicaid