Imani and Unidad, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IMANI AND UNIDAD, INC.

Practice address

234 Chapin St Ste B
South Bend, IN 46601-2571

Phone

(574) 288-2887

Fax

(574) 288-2801

NPI assigned

Oct 25, 2019

Organization subpart

No

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

Authorized official

Name

Debra Marie Stanley

Title

Executive Director

Phone

(574) 288-2887

Specialties & licenses 1

Addresses

Other names 1

• Imani Unidad Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1164065728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4305",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466344305",
            "telephone_number": "574-288-2887",
            "fax_number": "274-288-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 CHAPIN ST STE B",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466012571",
            "telephone_number": "574-288-2887",
            "fax_number": "574-288-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI AND UNIDAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "574-288-2887"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Network",
            "affiliation": "N",
            "address_1": "234 Chapin St Ste B",
            "city": "South Bend",
            "state": "IN",
            "country_code": "US",
            "postal_code": "466012571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Imani Unidad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2019; 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.