Provider Demographics
NPI:1003611831
Name:MALAIKA HEALTH GROUP LLC
Entity type:Organization
Organization Name:MALAIKA HEALTH GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RASHENAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYATI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-632-6183
Mailing Address - Street 1:200 RIVER BIRCH TRCE
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30215-6201
Mailing Address - Country:US
Mailing Address - Phone:404-663-2092
Mailing Address - Fax:
Practice Address - Street 1:200 RIVER BIRCH TRCE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30215-6201
Practice Address - Country:US
Practice Address - Phone:404-663-2092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No251E00000XAgenciesHome Health
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty