Organization Active NPI

Imara Community Services

  • Case Management Agency
  • West Palm Beach, FL
National Provider Identifier
1396910071
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
IMARA COMMUNITY SERVICES
Practice address
2240 Palm Beach Lakes Blvd
Suite 400E
West Palm Beach, FL 33409-3410
Phone
(561) 688-0870
Fax
(561) 537-7161
NPI assigned
Apr 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Mrs. Shirley Robertson, R.N.
Title
President/Ceo
Phone
(561) 688-0870

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X RN9206737 FL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X RN1525422 FL
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

2240 Palm Beach Lakes Blvd
Suite 400E
West Palm Beach, FL 33409-3410

Mailing address

2240 Palm Beach Lakes Blvd
Suite 400E
West Palm Beach, FL 33409-3410
Phone (561) 688-0870

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1396910071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 400E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093410",
            "telephone_number": "561-688-0870",
            "fax_number": "561-537-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 PALM BEACH LAKES BLVD",
            "address_2": "SUITE 400E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334093410",
            "telephone_number": "561-688-0870",
            "fax_number": "561-537-7161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMARA COMMUNITY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "561-688-0870",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "RN9206737",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "RN1525422",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.