NPIMap

Organization Active NPI

Forever Halo Care Provider

  • Home Health Agency
  • Williamsburg, VA
National Provider Identifier
1104295310
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FOREVER HALO CARE PROVIDER
Practice address
3300 Acorn St Ste 310
Williamsburg, VA 23188-1012
Phone
(757) 209-1060
NPI assigned
Sep 17, 2015
Last updated
Sep 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Clarence MayoNPI 1962821611
Title
Owner
Phone
(757) 209-1060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3300 Acorn St Ste 310
Williamsburg, VA 23188-1012

Mailing address

3300 Acorn St Ste 310
Williamsburg, VA 23188-1012
Phone (757) 209-1060

National Provider Directory

National Provider Directory

Locations

3300 Acorn St
Ste 310
Williamsburg, VA 23188
Phone (757) 209-1060

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1104295310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 ACORN ST STE 310",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881012",
            "telephone_number": "757-209-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 ACORN ST STE 310",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881012",
            "telephone_number": "757-209-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREVER HALO CARE PROVIDER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-209-1060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.