Provider Demographics
NPI:1750886677
Name:HALL, LEIGH ANN (CNA RHHA)
Entity type:Individual
Prefix:MRS
First Name:LEIGH
Middle Name:ANN
Last Name:HALL
Suffix:
Gender:F
Credentials:CNA RHHA
Other - Prefix:MS
Other - First Name:LEIGH
Other - Middle Name:ANN
Other - Last Name:TUSSING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2921 COREY DR
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-5839
Mailing Address - Country:US
Mailing Address - Phone:812-603-2921
Mailing Address - Fax:
Practice Address - Street 1:2921 COREY DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-5839
Practice Address - Country:US
Practice Address - Phone:812-603-2921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-25
Last Update Date:2018-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
INHHA0500532374U00000X
376J00000X
INCNA05011923747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker