Organization Active NPI

Halo Pain ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Greer, SC
National Provider Identifier
1649024845
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HALO PAIN ASC LLC
Practice address
420 The Pkwy Ste O
Greer, SC 29650-5205
Phone
(703) 509-3310
NPI assigned
Apr 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Authorized official

Name
Nick Larosa
Title
Member
Phone
(703) 509-3310

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

420 The Pkwy Ste O
Greer, SC 29650-5205

Mailing address

200 Chippy Rd
Greer, SC 29650-4688

National Provider Directory

National Provider Directory

Locations

420 The Pkwy
Ste O
Greer, SC 29650
Phone (703) 509-3310

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1649024845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CHIPPY RD",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296504688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 THE PKWY STE O",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296505205",
            "telephone_number": "703-509-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO PAIN ASC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "LAROSA",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "703-509-3310"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greer, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.