NPIMap

Organization Active NPI

Imani Woundcare Services Inc

Doing business as WC Home Services

  • Community Health Nurse Practitioner
  • Temecula, CA
National Provider Identifier
1003536012
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Nurse PractitionerTaxonomy code 363LC1500X
Legal business name
IMANI WOUNDCARE SERVICES INC
Doing business as
WC Home Services
Practice address
27555 Ynez Rd Ste 210
Temecula, CA 92591-4678
Phone
(909) 614-3039
NPI assigned
Aug 30, 2022
Last updated
Aug 2, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
IMANI WOUNDCARE SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Emma Jackson, NPNPI 1255809372
Title
Manager
Phone
(909) 614-3039

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LC1500X Primary

Addresses

Primary practice location

27555 Ynez Rd Ste 210
Temecula, CA 92591-4678

Mailing address

27555 Ynez Rd Ste 210
Temecula, CA 92591-4678
Phone (909) 614-3039

Other names 1

  • WC Home Services Doing business as

National Provider Directory

National Provider Directory
Part of
Imani Woundcare Services Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1003536012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27555 YNEZ RD STE 210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914678",
            "telephone_number": "909-614-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27555 YNEZ RD STE 210",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914678",
            "telephone_number": "909-614-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI WOUNDCARE SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMANI WOUNDCARE SERVICES INC",
        "enumeration_date": "2022-08-30",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "909-614-3039",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WC Home Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WC Home Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.