Imani Health Systems Incorporated

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IMANI HEALTH SYSTEMS INCORPORATED

Practice address

158 Fairview Rd Ste B3
Ellenwood, GA 30294-2795

Phone

(678) 571-2928

NPI assigned

Aug 5, 2021

Last updated

Aug 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Khadijah Chappell, MBANPI 1447589338

Title

Owner/Ceo

Phone

(678) 571-2928

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Khadijah Imani Chappell, CNA

  • Nurse's Aide
  • Cinti, OH
  • NPI 1447589338
  NPD Authorized official

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628121600000",
    "number": "1538833207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 FAIRVIEW RD STE B3",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942795",
            "telephone_number": "678-571-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 FAIRVIEW RD STE B3",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942795",
            "telephone_number": "678-571-2928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI HEALTH SYSTEMS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A",
        "authorized_official_last_name": "CHAPPELL",
        "authorized_official_first_name": "KHADIJAH",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "678-571-2928",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.