Organization Active NPI

Amani Personal Care Agency LLC

  • In Home Supportive Care Agency
  • Racine, WI
National Provider Identifier
1255975751
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
AMANI PERSONAL CARE AGENCY LLC
Practice address
3801 Monarch Dr Ste E
Racine, WI 53406-5500
Phone
(262) 456-7979
NPI assigned
Oct 29, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Godfrey Maina
Title
Ceo
Phone
(262) 456-7979

National Provider Directory

National Provider Directory

Locations

3801 Monarch Dr
Ste E
Racine, WI 53406
Phone (262) 456-7979

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3801 Monarch Dr Ste E
Racine, WI 53406-5500

Mailing address

3801 Monarch Dr Ste E
Racine, WI 53406-5500
Phone (262) 456-7979

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2019.

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572307200000",
    "number": "1255975751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MONARCH DR STE E",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065500",
            "telephone_number": "262-456-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MONARCH DR STE E",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534065500",
            "telephone_number": "262-456-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANI PERSONAL CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-29",
        "last_updated": "2019-10-29",
        "status": "A",
        "authorized_official_last_name": "MAINA",
        "authorized_official_first_name": "GODFREY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "262-456-7979"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.