Organization Active NPI

Imani Health Associates

  • Clinic/Center
  • Houston, TX
National Provider Identifier
1720270630
Registry record updated Sep 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
J2165 Issued in TX
Legal business name
IMANI HEALTH ASSOCIATES
Practice address
6118 Irish Hill Dr
Houston, TX 77053-3428
Phone
(832) 887-8992
Fax
(713) 669-1091
NPI assigned
Aug 14, 2007
Last updated
Sep 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2009

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

Authorized official

Name
Tonnett Outland
Title
Director
Phone
(832) 725-1268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X J2165 TX Primary

Addresses

Primary practice location

6118 Irish Hill Dr
Houston, TX 77053-3428

Mailing address

6118 Irish Hill Dr
Houston, TX 77053-3428
Phone (832) 887-8992

Other identifiers 1

IdentifierTypeStateIssuer
080458501MedicaidTX

National Provider Directory

National Provider Directory

Locations

1922 Pleasantville Dr
Ste B
Houston, TX 77029
Phone (713) 673-3900

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251763200000",
    "number": "1720270630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6118 IRISH HILL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770533428",
            "telephone_number": "832-887-8992",
            "fax_number": "713-669-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6118 IRISH HILL DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770533428",
            "telephone_number": "832-887-8992",
            "fax_number": "713-669-1091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI HEALTH ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2009-09-01",
        "status": "A",
        "authorized_official_last_name": "OUTLAND",
        "authorized_official_first_name": "TONNETT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "832-725-1268"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "TX",
            "license": "J2165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080458501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.