Provider Demographics
NPI:1235950015
Name:IMANI HOME CARE, LLC
Entity type:Organization
Organization Name:IMANI HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIATTA
Authorized Official - Middle Name:
Authorized Official - Last Name:NGALIWA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-806-2131
Mailing Address - Street 1:6515 BOWERY PEAK LN
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-4198
Mailing Address - Country:US
Mailing Address - Phone:614-806-2131
Mailing Address - Fax:
Practice Address - Street 1:6515 BOWERY PEAK LN
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-4198
Practice Address - Country:US
Practice Address - Phone:614-806-2131
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health