Provider Demographics
NPI:1770290363
Name:HALO HOME CARE SERVICES, LLC.
Entity type:Organization
Organization Name:HALO HOME CARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRYSTAL
Authorized Official - Middle Name:CHANTELL
Authorized Official - Last Name:MAGEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-390-0388
Mailing Address - Street 1:5079 HARDWOODS DR
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-2733
Mailing Address - Country:US
Mailing Address - Phone:248-390-0388
Mailing Address - Fax:313-202-9029
Practice Address - Street 1:34 MYRTLE ST
Practice Address - Street 2:
Practice Address - City:RIVER ROUGE
Practice Address - State:MI
Practice Address - Zip Code:48218-1340
Practice Address - Country:US
Practice Address - Phone:248-702-7502
Practice Address - Fax:313-202-9029
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-02
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No174200000XOther Service ProvidersMeals
No177F00000XOther Service ProvidersLodging
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service