Active NPI
Imiah LLC
- Custodial Care Facility
- Dallas, TX
National Provider Identifier
1770948176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.