Imani House

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

IMANI HOUSE

Practice address

709 Millard St
Tallahassee, FL 32301-7037

Phone

(850) 878-8870

Fax

(850) 877-1760

NPI assigned

Mar 30, 2012

Last updated

Mar 30, 2012By 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

Ms. Sakinah Mujahid

Title

Director of Program Deveolpment

Phone

(850) 459-4956

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1710253091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 MILLARD ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323017037",
            "telephone_number": "850-878-8870",
            "fax_number": "850-877-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 MILLARD ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323017037",
            "telephone_number": "850-878-8870",
            "fax_number": "850-877-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "MUJAHID",
        "authorized_official_first_name": "SAKINAH",
        "authorized_official_title_or_position": "DIRECTOR OF PROGRAM DEVEOLPMENT",
        "authorized_official_telephone_number": "850-459-4956",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiza Idrees, DO
• Ieisha Farrell
• Tayler Igo, LMHC
• Claire Helen Igoe, RD, LDN
• Sergia Ilagan, PT
• Ibn A Imani, D.P.M.
• Impact Therapy, LLC
• Impact Therapy, LLC
• Impact Therapy, LLC
• Impact Therapy, LLC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.