Active NPI
Imani Woundcare Services Inc
- Community Health Nurse Practitioner
- Temecula, CA
National Provider Identifier
1003536012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- 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
- Organization subpart
- Yes
- Parent organization
- IMANI WOUNDCARE SERVICES INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emma Jackson, NP
- Title
- Manager
- Phone
- (909) 614-3039
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 334700186 | Other | CA | HCO NUMBER |
Other names 1
- WC Home Services
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.
-
- Family Nurse Practitioner
- Temecula, CA
- NPI 1801679147
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Registered Nurse
- Murrieta, CA
- NPI 1730681602
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HCO NUMBER",
"identifier": "334700186",
"state": "CA"
}
],
"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.