Provider Demographics
NPI:1306450234
Name:HALO STAFFING AGENCY, LLC
Entity type:Organization
Organization Name:HALO STAFFING AGENCY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:FERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, BSAH
Authorized Official - Phone:215-744-2500
Mailing Address - Street 1:6401 AKRON ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19149-2924
Mailing Address - Country:US
Mailing Address - Phone:215-744-2500
Mailing Address - Fax:215-372-0975
Practice Address - Street 1:6401 AKRON ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19149-2924
Practice Address - Country:US
Practice Address - Phone:215-744-2500
Practice Address - Fax:215-372-0975
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HALO HOME CARE AGENCY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-08
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite CareGroup - Multi-Specialty
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
No177F00000XOther Service ProvidersLodging
No251G00000XAgenciesHospice Care, Community BasedGroup - Single Specialty
No253Z00000XAgenciesIn Home Supportive Care
No282J00000XHospitalsReligious Nonmedical Health Care InstitutionGroup - Multi-Specialty
No283X00000XHospitalsRehabilitation HospitalGroup - Multi-Specialty
No364SH0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty