Organization Active NPI

Home Assisted Living Opportunities LLC

  • In Home Supportive Care Agency
  • Winston Salem, NC
National Provider Identifier
1700620747
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOME ASSISTED LIVING OPPORTUNITIES LLC
Practice address
615 Saint George Square CT Ste 361
Winston Salem, NC 27103-1368
Phone
(573) 510-9838
Fax
(256) 325-5026
NPI assigned
Jun 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Shamica Lonette JohnsonNPI 1750096327
Title
Ceo
Phone
(573) 510-9838

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

615 Saint George Square CT Ste 361
Winston Salem, NC 27103-1368

Mailing address

615 Saint George Square CT Ste 361
Winston Salem, NC 27103-1368
Phone (336) 391-6487

Other names 1

  • Halo Homecare LLC Doing business as

National Provider Directory

National Provider Directory

Locations

615 Saint George Square Ct
Ste 361
Winston Salem, NC 27103
Phone (336) 391-6487

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": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1700620747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SAINT GEORGE SQUARE CT STE 361",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031368",
            "telephone_number": "336-391-6487",
            "fax_number": "256-325-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SAINT GEORGE SQUARE CT STE 361",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031368",
            "telephone_number": "573-510-9838",
            "fax_number": "256-325-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME ASSISTED LIVING OPPORTUNITIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "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": "573-510-9838"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halo Homecare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.