Healthcare Provider Details

I. General information

NPI: 1669277315
Provider Name (Legal Business Name): RASHENAH HAYATI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2025
Last Update Date: 02/17/2025
Certification Date: 02/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 RIVER BIRCH TRCE
FAYETTEVILLE GA
30215-6201
US

IV. Provider business mailing address

200 RIVER BIRCH TRCE
FAYETTEVILLE GA
30215-6201
US

V. Phone/Fax

Practice location:
  • Phone: 404-663-2092
  • Fax:
Mailing address:
  • Phone: 404-663-2092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: