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IMANI AND UNIDAD INC. NPI 1164065728


NPI Information

NPI: 1164065728
Provider Name: IMANI AND UNIDAD, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 15D2142885

Address:
234 CHAPIN ST STE B
SOUTH BEND, IN
ZIP 46601
Phone: (574) 288-2887
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IMANI AND UNIDAD, INC. is a community behavioral health in South Bend, IN. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. IMANI AND UNIDAD, INC. NPI is 1164065728. The provider is registered as an organization entity type.

The provider's business location address is:

234 CHAPIN ST STE B
SOUTH BEND, IN
ZIP 46601-571
Phone: (574) 288-2887
Fax: (574) 288-2801

The provider's authorized official is Debra Marie Stanley .
The authorized official title is Executive Director and has the following contact phone number (574) 288-2887.

The CLIA number assigned to this NPI record is 15D2142885 - other - community based organizat with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/25/2019 and was last updated on 10/25/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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