Imani Home Health Care, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IMANI HOME HEALTH CARE, LLC

Practice address

25988 Highland Road
Richmond Heights, OH 44143

Phone

(216) 486-0000

Fax

(216) 486-8281

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Nicole A Stanich

Title

Administrator

Phone

(216) 426-6000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Generations Health Services, LLC Doing business as

Locations

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1831268184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 NORTH MORELAND BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44120",
            "telephone_number": "216-426-6000",
            "fax_number": "216-426-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25988 HIGHLAND ROAD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "44143",
            "telephone_number": "216-486-0000",
            "fax_number": "216-486-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "STANICH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "216-426-6000"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "1657064",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2795202",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Generations Health Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Darlene Shamara Jackson, R.N.
• Dionna M Jackson, LPN
• Shakirah Jackson

• Home Health Agency in Richmond Heights, OH
• Providers in Richmond Heights, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.