Organization Active NPI

Imani Home Care Service, LLC

Doing business as Imani Home Care Service

  • Home Health Agency
  • Winston Salem, NC
National Provider Identifier
1215753389
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IMANI HOME CARE SERVICE, LLC
Doing business as
Imani Home Care Service
Practice address
615 Saint George Square CT Ste 316
Winston Salem, NC 27103-1368
Phone
(336) 918-3198
NPI assigned
Nov 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Authorized official

Name
Happy Williams
Title
Owner
Phone
(336) 918-3198

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

615 Saint George Square CT Ste 316
Winston Salem, NC 27103-1368

Mailing address

615 Saint George Square CT Ste 316
Winston Salem, NC 27103-1368
Phone (336) 918-3198

Other names 1

  • Imani Home Care Service Doing business as

National Provider Directory

National Provider Directory

Locations

615 Saint George Square Ct
Ste 316
Winston Salem, NC 27103
Phone (336) 778-3316

NPI Registry JSON

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732233600000",
    "number": "1215753389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SAINT GEORGE SQUARE CT STE 316",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031368",
            "telephone_number": "336-918-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SAINT GEORGE SQUARE CT STE 316",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031368",
            "telephone_number": "336-918-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI HOME CARE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HAPPY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-918-3198"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Imani Home Care Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.