Imani Hospitality Homecare

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

A280407700 Issued in MN

Legal business name

IMANI HOSPITALITY HOMECARE

Practice address

501 Dale St N
Saint Paul, MN 55103-1914

Phone

(651) 917-9015

Fax

(651) 645-9937

NPI assigned

Sep 30, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Dontrell Valerie Thornton

Title

Owner/Adminstrator

Phone

(651) 917-9015

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Imani Hospitality Homecare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Imani Hospitality Homecare

  • PACE Provider Organization
  • Saint Paul, MN
  • NPI 1295865970
  NPD tax ID

Locations

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254268800000",
    "number": "1144554791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DALE ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031914",
            "telephone_number": "651-917-9015",
            "fax_number": "651-645-9937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DALE ST N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551031914",
            "telephone_number": "651-917-9015",
            "fax_number": "651-645-9937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI HOSPITALITY HOMECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "DONTRELL",
        "authorized_official_middle_name": "VALERIE",
        "authorized_official_title_or_position": "OWNER/ADMINSTRATOR",
        "authorized_official_telephone_number": "651-917-9015",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MN",
            "license": "A280407700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CARE PROVIDER ORGANIZATION",
            "identifier": "A280407700",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi-Rae M Ikens, PHARM D
• Alison Enuma Ikeogu
• Angela Ngozi Ikeri, DNP, FNP-C, CWOCN
• Ekaterina Andrea Ilin-Grupa, LCSW, LICSW
• Illiuminated Home Health Care LLC.
• Imani Hospitality Homecare
• Sarah Imdieke, CNP
• Susan Margaret Imhoff, MA-CCC
• Katherine Louise Imm, RN
• Immaculate Home Care LLC

• In Home Supportive Care Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• In Home Supportive Care Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; 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.