Active NPI
Imani Hospitality Homecare
- PACE Provider Organization
- Saint Paul, MN
National Provider Identifier
1295865970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- Legal business name
- IMANI HOSPITALITY HOMECARE
- Practice address
- 501 Dale St N # 103
Saint Paul, MN 55103-1914 - Phone
- (651) 917-9015
- Fax
- (651) 645-7739
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dontrell V Thornton
- Title
- Adminstrator
- Phone
- (651) 917-9015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | MN | Primary |
Addresses
Primary practice location
501 Dale St N # 103
Saint Paul, MN 55103-1914
Mailing address
501 Dale St N # 103
Saint Paul, MN 55103-1914
Phone (651) 917-9015
National Provider Directory
National Provider Directory- Tax ID family
- Imani Hospitality Homecare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- In Home Supportive Care Agency
- Saint Paul, MN
- NPI 1144554791
Locations
501 Dale St N
#103
Saint Paul, MN 55103
Phone (651) 917-9015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1295865970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 DALE ST N # 103",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551031914",
"telephone_number": "651-917-9015",
"fax_number": "651-645-7739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 DALE ST N # 103",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551031914",
"telephone_number": "651-917-9015",
"fax_number": "651-645-7739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMANI HOSPITALITY HOMECARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-06",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "THORNTON",
"authorized_official_first_name": "DONTRELL",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "ADMINSTRATOR",
"authorized_official_telephone_number": "651-917-9015"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.