Provider Demographics
NPI:1609417724
Name:IMANI HEALTHCARE SERVICES INC.
Entity Type:Organization
Organization Name:IMANI HEALTHCARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:WINNIE
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:MULINDWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-415-7576
Mailing Address - Street 1:8401 MAYLAND DRIVE
Mailing Address - Street 2:SUITE D1
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4648
Mailing Address - Country:US
Mailing Address - Phone:804-415-7576
Mailing Address - Fax:804-799-7891
Practice Address - Street 1:8401 MAYLAND DRIVE
Practice Address - Street 2:SUITE D1
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4648
Practice Address - Country:US
Practice Address - Phone:804-415-7576
Practice Address - Fax:804-799-7891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health