Organization Active NPI

Imani Hospitality Homecare

  • PACE Provider Organization
  • Saint Paul, MN
National Provider Identifier
1295865970
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PACE Provider OrganizationTaxonomy code 251T00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 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.

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.

Verify at the official NPI Registry.