Healthcare Provider Details

I. General information

NPI: 1396255642
Provider Name (Legal Business Name): AMANI INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2017
Last Update Date: 01/29/2020
Certification Date: 01/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 PENNSYLVANIA AVE
WILMINGTON DE
19806-4124
US

IV. Provider business mailing address

1401 PENNSYLVANIA AVE
WILMINGTON DE
19806-4124
US

V. Phone/Fax

Practice location:
  • Phone: 302-668-7506
  • Fax:
Mailing address:
  • Phone: 302-668-7506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberCW-000007
License Number StateDE

VIII. Authorized Official

Name: MRS. AISHA MICHELLE AL HAJJAR
Title or Position: CEO
Credential: CPM
Phone: 302-668-7506