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IMPACT ADULT SERVICES LLC NPI 1720402001


NPI Information

NPI: 1720402001
Provider Name: IMPACT ADULT SERVICES, LLC
Classification: Day Training, Developmentally Disabled Services - 251C00000X
Entity Type: Organization
Address:
5536 KOUFAX DR
NORTH CHESTERFIELD, VA
ZIP 23234
Phone: (804) 301-9624
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IMPACT ADULT SERVICES, LLC is a day training developmentally disabled services in North Chesterfield, VA. The provider is these agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. IMPACT ADULT SERVICES, LLC NPI is 1720402001. The provider is registered as an organization entity type.

The provider's business location address is:

5536 KOUFAX DR
NORTH CHESTERFIELD, VA
ZIP 23234-897
Phone: (804) 301-9624

The provider's authorized official is Debbie Loureen Cadet .
The authorized official title is Chief Administrative Officer and has the following contact phone number (804) 301-9624.

The enumeration date for this NPI number is 2/7/2014 and was last updated on 2/7/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251C00000XDay Training, Developmentally Disabled Services88301001VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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