OrganizationActive
Imani Community Out Reach Center
NPI 1295174555 · Preferred Provider Organization · Kosciusko, MS
Provider details
- NPI number
- 1295174555
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Allie Ndiaye, Ceo(662) 289-7676
- License
- 7862 (MS)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
301 E Jefferson St
Kosciusko, MS 39090-3719
Phone: (662) 289-7676
Street-level locationGet directions
Mailing address
301 E Jefferson St
Kosciusko, MS 39090-3719
Other names (DBA / former)
- Former legal business name
- Garden Angles
Registry dates
- Enumerated
- 2013-06-20
- Last updated
- 2013-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.