Provider Demographics
NPI:1447902960
Name:HALO HOME HEALTH CARE INC
Entity type:Organization
Organization Name:HALO HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/CFO
Authorized Official - Prefix:
Authorized Official - First Name:RUZAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FISHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:747-305-2888
Mailing Address - Street 1:1522 W GLENOAKS BLVD UNIT E
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91201-1913
Mailing Address - Country:US
Mailing Address - Phone:747-305-2888
Mailing Address - Fax:
Practice Address - Street 1:1522 W GLENOAKS BLVD UNIT E
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91201-1913
Practice Address - Country:US
Practice Address - Phone:626-448-4444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health