Healthcare Provider Details

I. General information

NPI: 1184388977
Provider Name (Legal Business Name): HAYA HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2021
Last Update Date: 09/08/2023
Certification Date: 09/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5565 BLAINE AVE
INVER GROVE HEIGHTS MN
55076-1238
US

IV. Provider business mailing address

5565 BLAINE AVE
INVER GROVE HEIGHTS MN
55076-1238
US

V. Phone/Fax

Practice location:
  • Phone: 888-286-4292
  • Fax:
Mailing address:
  • Phone: 888-286-4292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code207RB0002X
TaxonomyObesity Medicine (Internal Medicine) Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: CYNTHIA WOODS
Title or Position: PRESIDENT
Credential:
Phone: 469-274-3808