Organization Active NPI

Halo DME LLC

  • Durable Medical Equipment & Medical Supplies
  • Tipp City, OH
National Provider Identifier
1508341637
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
HALO DME LLC
Practice address
1498 W Main St
Tipp City, OH 45371-2804
Phone
(267) 992-5086
NPI assigned
Sep 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Tim Deluca
Title
President & Ceo
Phone
(239) 236-7750

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1498 W Main St
Tipp City, OH 45371-2804

Mailing address

1498 W Main St
Tipp City, OH 45371-2804

National Provider Directory

National Provider Directory

Locations

1498 W Main St
Tipp City, OH 45371
Phone (267) 992-5086

NPI Registry JSON

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

{
    "created_epoch": "1537833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1508341637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1498 W MAIN ST",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453712804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 W MAIN ST",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453712804",
            "telephone_number": "267-992-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-25",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "DELUCA",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "239-236-7750"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tipp City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.