Organization Active NPI

Imani Enterprises Dba a L Nursing Home Care Agency

  • In Home Supportive Care Agency
  • Winston Salem, NC
National Provider Identifier
1346515137
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
IMANI ENTERPRISES DBA A L NURSING HOME CARE AGENCY
Practice address
1348 West Gate Center Drive
Suite 207
Winston Salem, NC 27103-2984
Phone
(336) 287-3291
Fax
(336) 499-0781
NPI assigned
Mar 13, 2012
Organization subpart
Yes
Parent organization
IMANI ENTERPRISESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Authorized official

Name
Anna John Simtaji, RN
Title
Executive Director
Phone
(336) 287-3291

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Nursing Care Agency 251J00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1348 West Gate Center Drive
Suite 207
Winston Salem, NC 27103-2984

Mailing address

1348 West Gate Center Drive
Suite 207
Winston Salem, NC 27103-2984
Phone (336) 287-3291

Other names 1

  • AL Nursing Home Care Agency Doing business as

National Provider Directory

National Provider Directory
Part of
Imani Enterprises Dba a L Nursing Home Care Agency

Locations

1348 Westgate Center Dr
Ste 207
Winston Salem, NC 27103
Phone (336) 287-3291

1001 S Marshall St
Ste 172
Winston Salem, NC 27101

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1346515137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 WEST GATE CENTER DRIVE",
            "address_2": "SUITE 207",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032984",
            "telephone_number": "336-287-3291",
            "fax_number": "336-499-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 WEST GATE CENTER DRIVE",
            "address_2": "SUITE 207",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271032984",
            "telephone_number": "336-287-3291",
            "fax_number": "336-499-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI ENTERPRISES DBA A L NURSING HOME CARE AGENCY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IMANI ENTERPRISES",
        "enumeration_date": "2012-03-13",
        "last_updated": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "SIMTAJI",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-287-3291",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AL Nursing Home Care Agency",
            "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 Jan 31, 2025; 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.