IMANI COMMUNITY OUT REACH CENTER
NPI 1295174555
Preferred Provider Organization in Kosciusko, MS

NPI Status: Active since June 20, 2013

Contact Information

301 E JEFFERSON ST
KOSCIUSKO, MS
ZIP 39090
Phone: (662) 289-7676

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  • Preferred Provider Organization

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 Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1295174555 assigned on June 2013. The practitioner's primary taxonomy code is 305R00000X with license number 7862 (MS). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's former legal business name is Garden Angles. The authorized official of this NPI record is Ms. Allie G Ndiaye I (Ceo)

NPI
1295174555
Provider Legal Name
IMANI COMMUNITY OUT REACH CENTER
Other Organization Name
GARDEN ANGLES
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
301 E JEFFERSON ST KOSCIUSKO, MS 39090
Location Phone
(662) 289-7676
Mailing Address
301 E JEFFERSON ST KOSCIUSKO, MS 39090
Mailing Phone
(662) 289-7676
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-20-2013
Last Update Date
06-20-2013
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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

Preferred Provider Organization

Taxonomy Code
305R00000X
Type
Managed Care Organizations
License No.
7862
License State
MS
Taxonomy Description
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

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

MS. ALLIE G NDIAYE I

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
261QA0600XOTHER (01)ADULT DAY CARE
172V00000XOTHER (01)MSCLINIC SOCIAL WORKER
261QM1300XMEDICARE UPIN (02)MS 
172V00000XMEDICARE UPIN (02)MS 
08533763OTHER (01)MSHOSPICE

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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 1295174555, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
9
Doubled → 18 → 1 + 8
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
7
Unchanged
Pos 7
4
Doubled → 8
Pos 8
5
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
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 9 → 18 → 9 1 → 2 4 → 8 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 + 8 + 5 + 2 + 7 + 8 + 5 + 1 + 0 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1295174555.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Driver
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Homemaker
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Social Worker
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Physical Therapist
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Occupational Therapist
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Home Health
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Private Vehicle
301 E JEFFERSON ST
KOSCIUSKO, MS 39090

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295174555, enumerated as an "organization" on June 20, 2013.

The provider is located at 301 E JEFFERSON ST KOSCIUSKO, MS 39090 and the phone number is (662) 289-7676.

Preferred Provider Organization with taxonomy code 305R00000X.

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