Halo Staffing Agency, LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

HALO STAFFING AGENCY, LLC

Doing business as

Halo Home Care Agency
Halo Home Health Care

Practice address

6401 Akron St
Philadelphia, PA 19149-2924

Phone

(215) 744-2500

Fax

(215) 372-0975

NPI assigned

Sep 8, 2020

Last updated

Jul 15, 2024By the provider in NPPES

Organization subpart

Yes

Parent organization

HALO HOME CARE AGENCYAs reported in NPPES

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

Authorized official

Name

Carmen S Fernandez, MBA, BSAHNPI 1619447729

Title

Ceo

Phone

(215) 744-2500

Specialties & licenses 12

Addresses

Other names 2

• Halo Home Care Agency Doing business as
• Halo Home Health Care Doing business as

Tax ID family

Halo Staffing Agency LLC2 organizations share this tax ID, including this one

Part of

Halo Staffing Agency LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Halo Staffing Agency, LLC

  dba Halo Home Care Staffing Agency

  • In Home Supportive Care Agency
  • Philadelphia, PA
  • NPI 1851950430
  NPD tax ID

Locations

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.

• Carmen S Fernandez

  • Home Health Agency
  • Philadelphia, PA
  • NPI 1619447729
  NPD Authorized official

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1306450234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 AKRON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492924",
            "telephone_number": "215-744-2500",
            "fax_number": "215-372-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 AKRON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191492924",
            "telephone_number": "215-744-2500",
            "fax_number": "215-372-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO STAFFING AGENCY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HALO HOME CARE AGENCY",
        "enumeration_date": "2020-09-08",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-744-2500",
        "authorized_official_credential": "MBA, BSAH"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "364SH0200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282J00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Health Care Institution",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halo Home Care Agency",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Halo Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sunny Gaye Hallowell, CRNP
• Deborah Lynn Hallquist, RN, MSN, CRNP, RNFA
• Ravindra C Hallur, M.D.
• Halo Healthcare, PLLC
• Halo Home Care LLC
• Halo Staffing Agency, LLC (Halo Home Care Staffing Agency)
• Halo Virgin Hair Extensions LLC
• Eitan Halper-Stromberg, MD
• Evan Alexander Halperin, PHARMD
• Kayvan Halperin, CRNP

• Home Health Registered Nurse in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Registered Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.