Individual provider Active NPI

Malaysha Deasha Hall

  • Home Health Aide
  • Savannah, GA
National Provider Identifier
1043856412
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
CAF20150018 Issued in GA
Practice address
7002 Hodgson Memorial Dr Ste 109
Savannah, GA 31406-1517
Phone
(912) 438-6897
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X CAF20150018 GA Primary

Addresses

Primary practice location

7002 Hodgson Memorial Dr Ste 109
Savannah, GA 31406-1517

Mailing address

7002 Hodgson Memorial Dr Ste 109
Savannah, GA 31406-1517
Phone (912) 438-6897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CAF20150018GAMDHome Health Aide

Practice roles

OrganizationSpecialtyStatusNew patients
Savannah Healthcare Group LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1043856412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 HODGSON MEMORIAL DR STE 109",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061517",
            "telephone_number": "912-438-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7002 HODGSON MEMORIAL DR STE 109",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061517",
            "telephone_number": "912-438-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MALAYSHA",
        "middle_name": "DEASHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "CAF20150018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.