MEDICARE: IMI MANAGEMENT LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1841178597
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMI MANAGEMENT LLC

Provider Business Mailing Address
First Line	:	1050 E FLAMINGO RD STE 107
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-7429
Country	:	US
Telephone Number	:	702-842-0542
Fax Number	:	702-819-0563

Provider Business Practice Location Address
First Line	:	6501 VEGAS DR APT 2088
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89108-7763
Country	:	US
Telephone Number	:	702-842-0542
Fax Number	:	702-819-0563

Authorized Official
Title or Position	:	CEO
Name	:	ERICA JOUBERT
Credential	:	CHW I
Telephone Number	:	725-268-8701

Provider Enumeration Date	:	08/21/2025
Last Update Date	:	10/02/2025

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Directions to “IMI MANAGEMENT LLC ” Practice Location

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