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

Active since June 20, 2013
301 E JEFFERSON ST, KOSCIUSKO, MS 39090(662) 289-7676 Get Directions Write a Review

NPPES record last updated: June 20, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Imani Community Out Reach Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMANI COMMUNITY OUT REACH CENTER (NPI 1295174555), doing business as Garden Angles, is a healthcare organization registered as a preferred provider organization in Kosciusko, Mississippi and active in the NPI registry since June 2013. The organization lists Allie G Ndiaye, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295174555
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameIMANI COMMUNITY OUT REACH CENTER
Location Address301 E JEFFERSON STKosciusko, MS 39090-3719
Mailing Address301 E Jefferson StKosciusko, MS 39090-3719 · (662) 289-7676
Phone(662) 289-7676
Organization SubpartNo
Authorized OfficialAllie G NdiayeCeo · (662) 289-7676
Enumeration DateJune 20, 2013
✔ NPI 1295174555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in MS · 7862
Definition
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.
301 E JEFFERSON ST, Kosciusko, MS 39090
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Other Names 1

Former Legal Business NameGarden Angles

Other Identifiers 5

Other261QA0600XAdult Day Care
Other172V00000XMS · Clinic Social Worker
Medicare UPIN261QM1300XMS
Medicare UPIN172V00000XMS
Other08533763MS · Hospice

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMANI COMMUNITY OUTREACH CENTER
Private Vehicle
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Attala County (662) 289-7676
IMANI COMMUNITY OUTREACH CENTER
Homemaker
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Attala County (662) 289-7676
IMANI COMMUNITY OUTREACH CENTER
Social Worker
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Attala County (662) 289-7676
IMANI COMMUNITY OUTREACH CENTER
Occupational Therapist
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Attala County (662) 289-7676
IMANI COMMUNITY OUTREACH CTR
Driver
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Attala County (662) 289-7676
IMANI COMMUNITY OUTREACH CTR INC
Home Health
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Attala County (662) 289-7676
IMANI COMMUNITY OUTREACH CENTER
Physical Therapist
301 E JEFFERSON ST
KOSCIUSKO, MS 39090
Attala County (662) 289-7676

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Imani Community Out Reach Center's NPI number?

The NPI number for Imani Community Out Reach Center is 1295174555. It was assigned to this organization in the NPPES registry on June 20, 2013. The provider was formerly known as Garden Angles.

Where is Imani Community Out Reach Center located?

Imani Community Out Reach Center is located at 301 E Jefferson St, Kosciusko, MS 39090. The listed phone number is (662) 289-7676.

What is Imani Community Out Reach Center's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Imani Community Out Reach Center was last updated on June 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.