Provider Demographics
NPI:1396255642
Name:AMANI INC.
Entity type:Organization
Organization Name:AMANI INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:AL HAJJAR
Authorized Official - Suffix:
Authorized Official - Credentials:CPM
Authorized Official - Phone:302-668-7506
Mailing Address - Street 1:1401 PENNSYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4124
Mailing Address - Country:US
Mailing Address - Phone:302-668-7506
Mailing Address - Fax:
Practice Address - Street 1:1401 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4124
Practice Address - Country:US
Practice Address - Phone:302-668-7506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMANI INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-10-01
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174H00000X, 251E00000X, 374J00000X
DECW-000007176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty
No374J00000XNursing Service Related ProvidersDoulaGroup - Multi-Specialty