Provider Demographics
NPI:1477434157
Name:HALO CARE SERVICES
Entity type:Organization
Organization Name:HALO CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PORCHEA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:813-481-8091
Mailing Address - Street 1:806 MILANO CIR APT 106
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-7023
Mailing Address - Country:US
Mailing Address - Phone:813-481-8091
Mailing Address - Fax:
Practice Address - Street 1:510 CARIBE RIDGE WAY
Practice Address - Street 2:
Practice Address - City:RUSKIN
Practice Address - State:FL
Practice Address - Zip Code:33570-7614
Practice Address - Country:US
Practice Address - Phone:813-480-8091
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-10
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty