Hall of Change Enterprise LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HALL OF CHANGE ENTERPRISE LLC

Practice address

1241 N 58TH St
Philadelphia, PA 19131-4108

Phone

(267) 680-5974

NPI assigned

Oct 14, 2024

Organization subpart

No

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

Authorized official

Name

Crystal HallNPI 1780402594

Title

Owner

Phone

(267) 680-5974

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hall OF Change Enterprise LLC Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Crystal Hall

  • Home Health Aide
  • Philadelphia, PA
  • NPI 1780402594
  NPD Authorized official

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1497575625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 N 58TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314108",
            "telephone_number": "267-680-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 N 58TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191314108",
            "telephone_number": "267-680-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALL OF CHANGE ENTERPRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-680-5974"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103981425-0001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hall OF Change Enterprise LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hall OF Change Enterprise LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Margaret Haley
• Jakub Halicki, MD
• Dahlia Ahmad Halim, MD
• Colin Halko
• Haley Caroline Halkyer, MS, CRC, LPC
• Hall- Mercer CMH-MRC of PA Hosp
• Hall-Mercer CMH-MRC of Pennsylvania Hosp
• Angela Hall-Morris, PUBLIC HEALTH RDH
• Amali Dilhara Hall, MD
• Antoine Samuel Hall, MSW

• Home Health Agency in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Home Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.