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General NPI Number Information
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NPI Number | 1306450234
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Entity Type | Organization
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Legal Business Name | HALO STAFFING AGENCY, LLC
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Dates
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Enumeration Date | 09/08/2020
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 6401 AKRON ST
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City | PHILADELPHIA
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State | PA
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Zip | 19149-2924
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Country | US
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Telephone | 215-744-2500
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Fax | 215-372-0975
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Provider Business Mailing Address
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Address Line | 6401 AKRON ST
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City | PHILADELPHIA
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State | PA
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Zip | 19149-2924
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Country | US
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Telephone | 215-744-2500
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Fax | 215-372-0975
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Authorized Official
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Title or Position | CEO
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Name | CARMEN S FERNANDEZ
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Credential | MBA, BSAH
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Telephone | 215-744-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 282J00000X
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Taxonomy Name | Religious Nonmedical Health Care Institution
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 364SH0200X
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Taxonomy Name | Home Health Clinical Nurse Specialist
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #12
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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