IMANI COMMUNITY OUT REACH CENTER (NPI# 1275977357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275977357 |
| Entity Type | Organization |
| Organization Name | IMANI COMMUNITY OUT REACH CENTER |
| Other Organization Name | IMAMI COMMUNITY CENTER |
| Practice Address |
308 N Jackson St Kosciusko MS 39090-3322 |
| Practice Telephone | 6622897676 |
| Practice Fax Number | 6622897688 |
| Mailing Telephone | 6622897676 |
| Mailing Fax Number | 6622897688 |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2014-03-13 |
| Authorized Official Name | MISS ALLIE GLEE NDIAYE (CEO) |
| Authorized Official Telephone | 6622897676 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 26QA0600X | 05 | |
| MS | 1172V00000X | 261QA0600X | 01 |
| MS | 261QA0600X | 05 | |
| MS | 261QM1300X | 05 |
| Other Name | Type Code |
|---|---|
| Imami Community Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295174555 | Imani Community Out Reach Center | Preferred Provider Organization | 301 E Jefferson St, Kosciusko, MS 39090-3719 | 2013-06-20 |
| Street Address |
308 N JACKSON ST |
| City | KOSCIUSKO |
| State | MS |
| Zip Code | 39090-3322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508371675 | Caroline Boydstun Fair | Pharmacist | 109 Northside Center, Kosciusko, MS 39090 | 2017-12-11 |
| 1275069643 | Sharhonda Wingo | Speech-Language Pathologist | 2447 Attala Road 2203, Kosciusko, MS 39090 | 2017-05-04 |
| 1013392034 | Leap of Faith LLC | Respite Care | 115 North Wells Street, Suite A, Kosciusko, MS 39090 | 2015-07-21 |
| 1730566027 | Bmc - Attala, LLC | General Acute Care Hospital | 220 Hwy. 12 West, Kosciusko, MS 39090 | 2015-05-06 |
| 1528402484 | Warner Martin Myers I | Student in an Organized Health Care Education/Training Program | 912 Hwy 12 East, Kosciusko, MS 39090 | 2013-04-23 |
| 1891022547 | Medical Foundation of Central Mississippi | Internal Medicine | 329 Highway 12 West, Koscuisko, MS 39090 | 2009-11-17 |
| 1255512448 | Cheryl L Bayne | Adult Companion | 509 Hillview Dr, Kosciusko, MS 39090 | 2007-11-16 |
| 1760673982 | Gary A Cochran | Technician/Technologist | 118 West North St, Kosciusko, MS 39090 | 2007-08-05 |
| 1639396393 | Stephen C Hammack | Family Medicine | 332 Highway 12 West, Kosciusko, MS 39090 | 2007-04-20 |
| 1740329689 | Brenda Nail | Nurse Practitioner | 999 Martin Luther King Drive, Kosciusko, MS 39090 | 2007-02-06 |
| Find all providers in zip 39090 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811086 | Patricia Wilson Stuart | Community Health Worker | 3414 Pecan Estates Cv, Hernando, MS 38632-7371 | 2020-11-05 |
| 1679111389 | Tawny Renee Williams | Community Health Worker | 409 Briarwood Dr Ste 302, Jackson, MS 39206-3033 | 2019-12-12 |
| 1902332166 | Kiana Moore | Community Health Worker | 319 Millcreek Dr, Brandon, MS 39047-9001 | 2017-05-10 |
| 1285179135 | Lashontay Burkett | Community Health Worker | 332 Emerson Dr, Hattiesburg, MS 39401-4717 | 2017-01-02 |
| 1730622622 | Silander Jones | Community Health Worker | 1062 Old River Rd, Harrisville, MS 39082 | 2016-11-23 |
| 1265982102 | Clemetha Gines | Community Health Worker | 121 Broadmoor Dr, Natchez, MS 39120-8831 | 2016-10-04 |
| 1407300957 | Lashanda Carter | Community Health Worker | 283 Hollins Rd, Pinola, MS 39149-3060 | 2016-08-12 |
| 1104275510 | Matthew Logue | Community Health Worker | 2009 Mossy Cove, Brandon, MS 39042 | 2016-06-07 |
| 1811343684 | Eugene Morgan | Community Health Worker | 5773 Old Canton Rd, Jackson, MS 39211-3202 | 2016-05-10 |
| 1376997791 | The Promise Group, LLC | Community Health Worker | 8 Park Pl Apt 347p, Hattiesburg, MS 39402-1570 | 2016-04-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.