Active NPI
Malaika Health Group LLC
- In Home Supportive Care Agency
- Fayetteville, GA
National Provider Identifier
1003611831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- MALAIKA HEALTH GROUP LLC
- Practice address
- 200 River Birch Trce
Fayetteville, GA 30215-6201 - Phone
- (404) 663-2092
- NPI assigned
- Feb 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rashenah Hayati
- Title
- Owner
- Phone
- (678) 632-6183
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary | ||
| Adult Companion | 372600000X |
Addresses
Primary practice location
200 River Birch Trce
Fayetteville, GA 30215-6201
Mailing address
200 River Birch Trce
Fayetteville, GA 30215-6201
Phone (404) 663-2092
National Provider Directory
National Provider DirectoryPractitioners & 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": "1739750400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739750400000",
"number": "1003611831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 RIVER BIRCH TRCE",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302156201",
"telephone_number": "404-663-2092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 RIVER BIRCH TRCE",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302156201",
"telephone_number": "404-663-2092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MALAIKA HEALTH GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-17",
"last_updated": "2025-02-17",
"certification_date": "2025-02-16",
"status": "A",
"authorized_official_last_name": "HAYATI",
"authorized_official_first_name": "RASHENAH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-632-6183"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.