IMANI COMMUNITY OUT REACH CENTER
NPI 1275977357
Community Health Worker in Kosciusko, MS

NPI Status: Active since April 19, 2013

Contact Information

308 N JACKSON ST
KOSCIUSKO, MS
ZIP 39090
Phone: (662) 289-7676
Fax: (662) 289-7688

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  • Organization
  • Community Health Worker

About IMANI COMMUNITY OUT REACH CENTER

This page provides the complete NPI Profile along with additional information for Imani Community Out Reach Center, a provider established in Kosciusko, Mississippi operating as a Community Health Worker. The healthcare provider is registered in the NPI registry with number 1275977357 assigned on April 2013. The practitioner's primary taxonomy code is 172V00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The provider's former legal business name is Imami Community Center. The authorized official of this NPI record is Miss Allie Glee Ndiaye Lpn (Ceo)

NPI
1275977357
Provider Legal Name
IMANI COMMUNITY OUT REACH CENTER
Other Organization Name
IMAMI COMMUNITY CENTER
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
308 N JACKSON ST KOSCIUSKO, MS 39090
Location Phone
(662) 289-7676
Location Fax
(662) 289-7688
Mailing Address
308 N JACKSON ST KOSCIUSKO, MS 39090
Mailing Phone
(662) 289-7676
Mailing Fax
(662) 289-7688
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2013
Last Update Date
03-13-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Community Health Worker

Taxonomy Code
172V00000X
Type
Other Service Providers
Taxonomy Description
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QA0600XAmbulatory Health Care Facilities

Clinic/Center
Adult Day Care

 
2261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISS ALLIE GLEE NDIAYE LPN

Authorized Official Title
CEO
Authorized Official Phone
(662) 289-7676

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
172V00000XMEDICARE PIN (08)MS 
261QA06000XMEDICARE PIN (08)MS 
261QA0600XMEDICARE PIN (08) 
261QM1300XMEDICARE PIN (08)MS 
26IQM1300XMEDICARE PIN (08) 
261QA0600XOTHER (01)MS1172V00000X
261QA0600XMEDICAID (05)MS 
261QM1300XMEDICARE OSCAR/CERTIFICATION (06)MS 
261QM1300XMEDICAID (05)MS 
26QA0600XMEDICAID (05)MS 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1275977357, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
7
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
3
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 7 → 14 → 5 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 4 + 5 + 1 + 8 + 7 + 1 + 4 + 3 + 1 + 0 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1275977357.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner
308 N JACKSON ST
KOSCIUSKO, MS 39090
Nurse Practitioner
308 N JACKSON ST
KOSCIUSKO, MS 39090

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275977357, enumerated as an "organization" on April 19, 2013.

The provider is located at 308 N JACKSON ST KOSCIUSKO, MS 39090 and the phone number is (662) 289-7676.

Community Health Worker with taxonomy code 172V00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.