Imani House Ministry Outreach Church

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

IMANI HOUSE MINISTRY OUTREACH CHURCH

Practice address

5142 Commonwealth St
Detroit, MI 48208-1723

Phone

(313) 247-4447

NPI assigned

Jun 23, 2010

Last updated

Jun 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Dannis L Doby-Leatherwood

Title

Ceo

Phone

(313) 247-4447

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277251200000",
    "number": "1841501053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5142 COMMONWEALTH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081723",
            "telephone_number": "313-247-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5142 COMMONWEALTH ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482081723",
            "telephone_number": "313-247-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI HOUSE MINISTRY OUTREACH CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-23",
        "last_updated": "2010-06-23",
        "status": "A",
        "authorized_official_last_name": "DOBY-LEATHERWOOD",
        "authorized_official_first_name": "DANNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-247-4447",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Im Consultant (Primedical Urgent Care 1)
• Jacob Junhyuk Im, MD
• Hope Imaizumi, LMSW
• Samson Imalele
• Nauman R. Imami, M.D.
• Susan Imbier, RN MSN NE-BC
• Imhotep Medical Services, Inc.
• Immaculate Activities Corporation
• Impact Care, LLC
• Impact Community Health

• Voluntary or Charitable Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Voluntary or Charitable Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; 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.