IMPACTFUL HUMAN SERVICES LLC (NPI# 1568072759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568072759 |
| Entity Type | Organization |
| Organization Name | IMPACTFUL HUMAN SERVICES LLC |
| Practice Address |
1055 Westlakes Dr Ste 300 Berwyn PA 19312-2410 |
| Practice Telephone | 8775004742 |
| Practice Fax Number | 8775004742 |
| Mailing Telephone | 8775004742 |
| Mailing Fax Number | 8775004742 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | EDWINA VANOTOO (OFFICE MANAGER) |
| Authorized Official Telephone | 8775004742 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320600000X | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375305 | Impactful Human Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1055 Westlakes Dr Ste 3003, Berwyn, PA 19312-2410 | 2020-08-06 |
| 1174133276 | Impactful Human Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1055 Westlakes Dr Ste 300, Berwyn, PA 19312-2410 | 2020-08-04 |
| Street Address |
1055 WESTLAKES DR STE 300 |
| City | BERWYN |
| State | PA |
| Zip Code | 19312-2410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760412100 | Matthew Budway | Neurological Surgery | 1055 Westlakes Dr Ste 300, Berwyn, PA 19312-2410 | 2006-07-03 |
| 1174133276 | Impactful Human Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1055 Westlakes Dr Ste 300, Berwyn, PA 19312-2410 | 2020-08-04 |
| 1376165233 | Matthew Budway, Md | Neurological Surgery | 1055 Westlakes Dr Ste 300, Berwyn, PA 19312-2410 | 2020-05-14 |
| 1902440563 | Avacare LLC | In Home Supportive Care | 1055 Westlakes Dr Ste 300, Berwyn, PA 19312-2410 | 2019-11-06 |
| 1912020520 | Sharon M Richter | Counselor | 1055 Westlakes Dr Ste 300, Berwyn, PA 19312-2410 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770113847 | Theresa Marie Estrada | Dietitian, Registered | 534 Howellville Rd., Berwyn, PA 19312 | 2020-01-17 |
| 1407279664 | True Care Medical Transport LLC | Ambulance | 1189 Lancaster Ave, Berwyn, PA 19312 | 2014-01-23 |
| 1124440730 | Sofie Heyman | Marriage & Family Therapist | 1034 Beaumont Rd, Berwyn, PA 19312 | 2014-01-16 |
| 1437303880 | Megan O'keefe | Occupational Therapist | 622 First Ave., Berwyn, PA 19312 | 2008-11-12 |
| 1235383084 | Working Together Inc. | Naturopath | 411 E. Lancaster Ave., Wayne, PA 19312 | 2008-11-06 |
| 1750559050 | Kenneth Kondracki | Pharmacist | 450 Mw Swedesford Rd, Berwyn, PA 19312 | 2008-02-20 |
| 1962624312 | John B Fitzgerald IIi | Dentist | 1201 W Swedesford Road, Berwyn, PA 19312 | 2007-05-03 |
| 1760607576 | Kathleen Jane Ramsdell | Occupational Therapist | 2 Harrow Lane, Berwyn, PA 19312 | 2007-04-16 |
| 1679604979 | Matthew Lewullis | Family Medicine | 1001 Chesterbrook Boulevard, Berwyn, PA 19312 | 2007-03-08 |
| 1962550996 | Christine Marie Specht | Registered Nurse | 1199 Lancaster Avenue, Suite 106, Berwyn, PA 19312 | 2007-01-08 |
| Find all providers in zip 19312 | ||||
| Taxonomy Code | 320600000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities |
| A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental disabilities and/or mental retardation and are not able to live independently. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887514 | Thakker & Amin LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 91 N York Rd Apt 400-09, Willow Grove, PA 19090-2155 | 2020-09-25 |
| 1104463736 | Embolden Community Allies | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4000 Gypsy Ln Unit 204, Philadelphia, PA 19129-5405 | 2019-12-02 |
| 1528605243 | United Care Community Home LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1201 Overlook Rd Apt 6, Whitehall, PA 18052-6124 | 2019-12-01 |
| 1326684010 | Active Community Support | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3505 W Moreland Rd, Willow Grove, PA 19090-3831 | 2019-11-18 |
| 1851851083 | A Sun Starr Independent Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1673 Suburban Ave, Pittsburgh, PA 15216-3722 | 2019-03-22 |
| 1669953642 | Keystone Community Resources, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 767 State Route 307, Spring Brook Township, PA 18444-6463 | 2018-08-27 |
| 1477031029 | Biacon Family and Community Support Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 205 Pennford Pl, Garnet Valley, PA 19060-2407 | 2018-08-04 |
| 1134623515 | Woods Services Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 361 South Bellevue Avenue, Langhorne, PA 19047 | 2018-03-21 |
| 1518470624 | Cdig Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1714 Danforth St, Philadelphia, PA 19152-1802 | 2017-11-10 |
| 1619488434 | Creative Dialogues, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 828 Renier Ave, Turtle Creek, PA 15145-1608 | 2017-10-19 |
| Find all providers with the same taxonomy | ||||
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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.