IMANI COMMUNITY OUTREACH CENTER (NPI# 1467726000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467726000 |
| Entity Type | Organization |
| Organization Name | IMANI COMMUNITY OUTREACH CENTER |
| Other Organization Name | IMAMI COMMUNITY CENTER |
| Practice Address |
308 N Jackson Street Kosciusko MS 39090-1453 |
| Practice Telephone | 6622897676 |
| Practice Fax Number | 6622897688 |
| Mailing Telephone | 6622897676 |
| Mailing Fax Number | 6622897688 |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2014-03-28 |
| Authorized Official Name | MS. ALLIE NDIAYE (CEO) |
| Authorized Official Telephone | 6622897676 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | PENDING | 05 |
| Other Name | Type Code |
|---|---|
| Imami Community Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457623118 | Imani Community Outreach Center | Respite Care | 207 Poplar St, Kosciusko, MS 39090-4409 | 2012-01-27 |
| 1154765808 | Imani Community Outreach Center | Custodial Care Facility | 301 E Jefferson St, Kosciusko, MS 39090 | 2013-04-24 |
| 1912273624 | Imani Community Outreach Center | Physical Therapist | 301 E Jefferson St, Kosciusko, MS 39090-3719 | 2012-03-27 |
| 1477829182 | Imani Community Outreach Center | Occupational Therapist | 301 E Jefferson St, Kosciusko, MS 39090-3719 | 2012-03-27 |
| 1467728360 | Imani Community Outreach Center | Social Worker | 301 E Jefferson St, Kosciusko, MS 39090-3719 | 2012-03-26 |
| 1245502962 | Imani Community Outreach Center | Homemaker | 301 E Jefferson St, Kosciusko, MS 39090-3719 | 2012-01-27 |
| Street Address |
308 N JACKSON STREET |
| City | KOSCIUSKO |
| State | MS |
| Zip Code | 39090-1453 |
| 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 | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811631 | Collins Home Care LLC | Nursing Care | 209 Commerce Dr Ste D, Brandon, MS 39042-2756 | 2020-11-02 |
| 1760081301 | Magnolia Healthcare Solutions, LLC | Nursing Care | 402 Greenfield Ridge Cir, Brandon, MS 39042-7025 | 2020-10-24 |
| 1659981181 | Anchoring Hearts Healthcare LLC | Nursing Care | 730 Ridgewood Rd Ste A, Ridgeland, MS 39157-4434 | 2020-08-10 |
| 1588282941 | Anchoring Hearts Healthcare | Nursing Care | 308 Belvedere Dr, Pearl, MS 39208-8916 | 2020-07-11 |
| 1912539149 | Tih Services LLC | Nursing Care | 1246 Beverly Hills Rd Apt 207, Hattiesburg, MS 39401-4464 | 2020-02-05 |
| 1629608831 | Collins Home Care LLC | Nursing Care | 305 Turny Cv, Brandon, MS 39042-7007 | 2020-01-16 |
| 1417424391 | Optimal Wellness 365 LLC | Nursing Care | 4375 Highway 51 N Apt 25-201, Horn Lake, MS 38637-8720 | 2018-10-29 |
| 1679040729 | Karis Staffing Agency | Nursing Care | 2068 Smyrna Rd, Hazlehurst, MS 39083-9049 | 2018-10-26 |
| 1568938447 | Trusting Loyal Caring Tlc Homemakers Service | Nursing Care | 59 Noblin Road, Cleveland, MS 38732-9571 | 2018-10-18 |
| 1700378965 | Southern Medical Solutions | Nursing Care | 186 Burris Rd Se, Mc Call Creek, MS 39647-5295 | 2018-06-04 |
| 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.