IMPACT HEALTHCARE SOLUTIONS LLC (NPI# 1518344217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518344217 |
| Entity Type | Organization |
| Organization Name | IMPACT HEALTHCARE SOLUTIONS LLC |
| Practice Address |
1411 Highfield Ct Charlotte NC 28216-1827 |
| Practice Telephone | 9804754730 |
| Mailing Telephone | 9804754730 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |
| Authorized Official Name | MR. KENNETH JERMAINE CRUMP (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9804754730 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
1411 HIGHFIELD CT |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28216-1827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837331 | Transit Consortium of South Carolina, LLC | Non-emergency Medical Transport (VAN) | 5025 Roundstone Way, Suite 103, Charlotte, NC 28216 | 2020-03-25 |
| 1811538796 | Strengthening Families Within Communities LLC | Community/Behavioral Health | 4135 Bryan Furr Drive, Charlotte, NC 28216 | 2019-10-02 |
| 1841705159 | Karen Sue Rhea | Registered Nurse | 4004 Nicole Eileen Lane, Charlotte, ND 28216 | 2017-12-08 |
| 1992225890 | Be Free Counseling, Pllc | Social Worker | 7800 Bridle Court, Charlotte, NC 28216 | 2017-06-21 |
| 1013466416 | Roha Solutions, Inc | Community Based Residential Treatment Facility, Mental Illness | 1529 Jennings St, Charlotte, NC 28216 | 2016-09-26 |
| 1336595826 | North Carolina Neurodiagnostics, LLC | Clinic/Center | 10130 Perimeter Pwky, Ste. 200, Office 250, Charlotte, NC 28216 | 2016-05-13 |
| 1346600699 | Elizabeth Ayodele Agiri | Registered Nurse | 9404 Perimeter Station Dr, Apt. 108, Charlotte, NC 28216 | 2016-02-29 |
| 1922479179 | Prashant Patel | Pharmacist | 9820 Callibridge Court, Charlotte, NC 28216 | 2015-10-14 |
| 1205226685 | Sarah Baker | Social Worker | 10506 Grobie Way Apt 104, Charlotte, NC 28216 | 2015-01-23 |
| 1578967089 | The Moon Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4548 Hyperion Court, Charlotte, NC 28216 | 2014-10-13 |
| Find all providers in zip 28216 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285290403 | Compass Life Skills and Counseling, Pllc | Clinic/Center | 8824 Cliff Cameron Dr Apt 107, Charlotte, NC 28269-0839 | 2019-05-13 |
| 1417435710 | Porcelain Dolls of The Carolinas, Inc | Clinic/Center | 5835 Executive Center Dr # 101-i, Charlotte, NC 28212 | 2018-07-30 |
| 1487952362 | Motivation & Inspiration Family Services | Clinic/Center | 7008 E Wt Harris Blvd Ste 7, Charlotte, NC 28215-4298 | 2011-03-02 |
| 1124484621 | Pathways To Growth Counseling, Pllc | Clinic/Center | 5200 Park Rd, Suite 236, Charlotte, NC 28209-3650 | 2016-01-13 |
| 1598164188 | Jessica L Massey,lcsw, Pllc | Clinic/Center | 3315 Springbank Ln, Suite 302, Charlotte, NC 28226-3197 | 2014-08-19 |
| 1265722557 | Alexander Youth Network | Clinic/Center | 5855 Executive Center Dr, Charlotte, NC 28212-8883 | 2011-04-08 |
| 1083856595 | Alexander Youth Network | Clinic/Center | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2009-03-30 |
| 1437391943 | Alexander Youth Network | Clinic/Center | 6220 Thermal Rd, Charlotte, NC 28211-5630 | 2009-03-30 |
| 1649450487 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-1009 | 2007-11-09 |
| 1093995839 | Behavioral Health Center Cmc Randolph | Clinic/Center | 330 Billingsley Road, Behavioral Health Center Cmc Randolph, Charlotte, NC 28211-5055 | 2007-11-09 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.