Forever Halo Care Provider

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

Organization subpart

No

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

Authorized official

Name

Mr. Clarence Mayo

Title

Owner

Phone

(757) 209-1060

Specialties & licenses 1

Addresses

Locations

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": []
}

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• Home Health Agency in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Home Health Agency in Virginia

• 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.