Koyonna Hall

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

38113601 Issued in PA

Practice address

1853 William Penn Way Ste 23
Lancaster, PA 17601-6713

Phone

(717) 406-3246

NPI assigned

Feb 24, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1497349054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 WILLIAM PENN WAY STE 23",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016713",
            "telephone_number": "717-406-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1853 WILLIAM PENN WAY STE 23",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176016713",
            "telephone_number": "717-406-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KOYONNA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-24",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "PA",
            "license": "38113601",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "38113601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander J Haines, PHARMD
• Elizabeth Haldeman
• Danielle L Hale, PA-C
• Sarah Haley
• Dewana Hall, LPC
• Susan Hall, LSW
• Amy Haller, LSW
• Bryce Kyle Hallinan, D.D.S.
• Janine Hallman, BCBA, LBS
• Jenna Ann Hallock, M.S. OTR/L

• In Home Supportive Care Agency in Lancaster, PA
• Providers in Lancaster, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.