Organization Active NPI

Imani Foundation, Inc.

  • Case Management Agency
  • Atlanta, GA
National Provider Identifier
1902104730
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
IMANI FOUNDATION, INC.
Practice address
3201 Atlanta Industrial Pkwy NW
Suite 303
Atlanta, GA 30331-1045
Phone
(404) 584-6288
Fax
(404) 584-6292
NPI assigned
Mar 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Ms. Bernadine Brown, MS
Title
Chief Executive Officer (Ceo)
Phone
(404) 584-6288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X GA Primary

Addresses

Primary practice location

3201 Atlanta Industrial Pkwy NW
Suite 303
Atlanta, GA 30331-1045

Mailing address

3201 Atlanta Industrial Pkwy NW
Suite 303
Atlanta, GA 30331-1045
Phone (404) 584-6288

National Provider Directory

National Provider Directory
Tax ID family
Imani Foundation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3201 Atlanta Industrial Pkwy NW
Ste 303
Atlanta, GA 30331
Phone (404) 584-6288

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1902104730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 ATLANTA INDUSTRIAL PKWY NW",
            "address_2": "SUITE 303",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303311045",
            "telephone_number": "404-584-6288",
            "fax_number": "404-584-6292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 ATLANTA INDUSTRIAL PKWY NW",
            "address_2": "SUITE 303",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303311045",
            "telephone_number": "404-584-6288",
            "fax_number": "404-584-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANI FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "BERNADINE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER (CEO)",
        "authorized_official_telephone_number": "404-584-6288",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.