Organization Active NPI

Ima Care Inc.

  • Home Health Agency
  • Bedford Heights, OH
National Provider Identifier
1780860478
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IMA CARE INC.
Practice address
5333 Northfield Rd Ste 310
Bedford Heights, OH 44146-1150
Phone
(216) 539-1955
Fax
(877) 267-1926
NPI assigned
Jan 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Augustine Samba, PH.D
Title
Administrator/President
Phone
(216) 539-1955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5333 Northfield Rd Ste 310
Bedford Heights, OH 44146-1150

Mailing address

5333 Northfield Rd Ste 310
Bedford Heights, OH 44146-1150
Phone (216) 539-1955

Other practice location 1

145 Cambridge Dr
Aurora, OH 44202-8452
Phone (216) 539-1955

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081226000091 OH Part A Provider - Home Health Agency 1052473154 Practice locations: Bedford Heights, OH

Home health agency certification: CCN 368322

Legal name
IMA CARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 18, 2010
Last certification
Aug 16, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 12, 2007 in OH
Enrollment address
5333 Northfield Rd
Suite 310
Bedford Heights, OH 44146-1150
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ima Care, IncCCN 368322
Ownership
Proprietary
Certified
Aug 18, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2148090Ima Care, Inc5333 Northfield Road, Bedford, OH 44146Certificate of waiverMay 2, 2028

National Provider Directory

National Provider Directory

Locations

5333 Northfield Rd
Ste 310
Bedford Heights, OH 44146
Phone (216) 539-1955

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jeneba Samba Individual 5% Or Greater Direct Ownership Interest Apr 27, 2018 100%
Corporate DirectorCeo Apr 27, 2018 100%
Operational/Managerial ControlCeo Apr 27, 2018 100%

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1780860478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 NORTHFIELD RD STE 310",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441461150",
            "telephone_number": "216-539-1955",
            "fax_number": "877-267-1926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 NORTHFIELD RD STE 310",
            "city": "BEDFORD HEIGHTS",
            "state": "OH",
            "postal_code": "441461150",
            "telephone_number": "216-539-1955",
            "fax_number": "877-267-1926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Cambridge Dr",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "OH",
            "postal_code": "442028452",
            "country_code": "US",
            "telephone_number": "216-539-1955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IMA CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SAMBA",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR/PRESIDENT",
        "authorized_official_telephone_number": "216-539-1955",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Heights, OH

Sources for this page

Verify at the official NPI Registry.