Organization Active NPI

Halo Homecare LLC

  • In Home Supportive Care Agency
  • Madison, AL
National Provider Identifier
1700577327
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HALO HOMECARE LLC
Practice address
250 Sun Temple Dr.
Ste C5
Madison, AL 35758-0016
Phone
(256) 325-5023
Fax
(256) 325-5026
NPI assigned
May 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Shamica Lonette Johnson, HOME CARE PROVIDERNPI 1750096327
Title
Ceo
Phone
(256) 325-5023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

250 Sun Temple Dr.
Ste C5
Madison, AL 35758-0016

Mailing address

250 Sun Temple Dr.
Ste C5
Madison, AL 35758-0016
Phone (256) 325-5023

National Provider Directory

National Provider Directory

Locations

4100 Market St
Ste 1001183
Huntsville, AL 35808

250 Sun Temple Dr
Ste C5
Madison, AL 35758
Phone (256) 325-5023

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": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1700577327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 SUN TEMPLE DR.",
            "address_2": "STE C5",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357580016",
            "telephone_number": "256-325-5023",
            "fax_number": "256-325-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SUN TEMPLE DR.",
            "address_2": "STE C5",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357580016",
            "telephone_number": "256-325-5023",
            "fax_number": "256-325-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALO HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-09-20",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHAMICA",
        "authorized_official_middle_name": "LONETTE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-325-5023",
        "authorized_official_credential": "HOME CARE PROVIDER"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.