Provider Demographics
NPI:1659181907
Name:HALL, ASIA (CPI, BLS-I)
Entity type:Individual
Prefix:MS
First Name:ASIA
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:CPI, BLS-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5017 YORK RD STE 200
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-4438
Mailing Address - Country:US
Mailing Address - Phone:443-544-4539
Mailing Address - Fax:
Practice Address - Street 1:5017 YORK RD STE 200
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-4438
Practice Address - Country:US
Practice Address - Phone:443-544-4539
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-09
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD007080246RP1900X
247200000X
MD253Z00000X, 3747P1801X, 390200000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program