Organization Active NPI

Imiah LLC

  • Custodial Care Facility
  • Dallas, TX
National Provider Identifier
1770948176
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
Legal business name
IMIAH LLC
Practice address
7520 Marietta LN
Dallas, TX 75241-4422
Phone
(469) 236-4913
Fax
(972) 224-0088
NPI assigned
Dec 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Authorized official

Name
Mrs. Saprina Dovell Winb
Title
Owner
Phone
(469) 236-4913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X Primary

Addresses

Primary practice location

7520 Marietta LN
Dallas, TX 75241-4422

Mailing address

1855 Windsor Dr
Lancaster, TX 75134-4148
Phone (469) 236-4913

Other names 1

  • Independent mentally ill adult housing Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1451347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606953600000",
    "number": "1770948176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 WINDSOR DR",
            "city": "LANCASTER",
            "state": "TX",
            "postal_code": "751344148",
            "telephone_number": "469-236-4913",
            "fax_number": "972-224-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 MARIETTA LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752414422",
            "telephone_number": "469-236-4913",
            "fax_number": "972-224-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMIAH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-29",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A",
        "authorized_official_last_name": "WINB",
        "authorized_official_first_name": "SAPRINA",
        "authorized_official_middle_name": "DOVELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-236-4913",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Independent mentally ill adult housing",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.