Halo Community Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

HALO COMMUNITY SERVICES

Practice address

12133 W Bell Rd
Surprise, AZ 85378-9409

Phone

(623) 229-5825

NPI assigned

Oct 6, 2020

Last updated

Oct 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thania Pennington, MANPI 1801471404

Title

Administrator

Phone

(623) 229-5825

Specialties & licenses 1

Addresses

Tax ID family

Halo Community Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Halo Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Surprise, AZ
  • NPI 1942886791
  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.

• Thania Pennington

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Surprise, AZ
  • NPI 1801471404
  Authorized official Same address or phone

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1356948947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15778 W CARIBBEAN LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853796238",
            "telephone_number": "623-229-5825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12133 W BELL RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789409",
            "telephone_number": "623-229-5825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "PENNINGTON",
        "authorized_official_first_name": "THANIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-229-5825",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Haley
• Bradley Gerald Hall, PA-C
• Edward Hall
• Jacqueline Hall, COTA/L
• Methawee Hall
• Halo Community Services
• Aimee Halvorsen, RN CDE
• Madison Kay Ham
• Christopher Eric Hamilton, M.D.
• Maria Hamilton, PSY.D.

• Case Management Agency in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Case Management Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.