IMPACT HEALTH SOLUTIONS INC


Address: 3535 S Wilmington St Ste 204b, Raleigh, NC 27603-3512
Phone: 9194006144

IMPACT HEALTH SOLUTIONS INC (NPI# 1962698084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962698084
Entity Type Organization
Organization Name IMPACT HEALTH SOLUTIONS INC
Practice Address 3535 S Wilmington St Ste 204b
Raleigh
NC 27603-3512
Practice Telephone 9194006144
Practice Fax Number 9177795244
Mailing Telephone 9194006144
Mailing Fax Number 9197795244
Enumeration Date 2007-09-21
Last Update Date 2019-07-09
Authorized Official Name MS. VIOLET IFEOMA SMART (PRESIDENT)
Authorized Official Telephone 9194006144
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251J00000X Nursing Care HC3151 NC Agencies
Y 251E00000X Home Health Agencies

Other Provider Identifier

State Issuer Identifier Type Code
NC NC DHHS FACILITY ID 051001 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
2021 Deep Forest Trl, Raleigh, NC 276035830 9194006144

Office Location

Street Address 3535 S WILMINGTON ST STE 204B
City RALEIGH
State NC
Zip Code 27603-3512

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1841680220 Oswald H Ganley Internal Medicine 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 2015-01-23
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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

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1306450895 Angels By Surprise LLC Home Health 319 Chapanoke Rd Ste 114a, Raleigh, NC 27603-3433 2020-09-02
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1679199160 Dependable Home Care Service Home Health 8308 Tierra Del Sol Way, Raleigh, NC 27616-3512 2020-06-19
1972126282 Twins Loving Care Services, LLC Home Health 4909 Waters Edge Dr Ste 102, Raleigh, NC 27606-2462 2020-05-20
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1053933010 Allied Medical Care, LLC Home Health 2421 Timber Dr, Raleigh, NC 27604-2248 2020-05-13
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Competitor

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City RALEIGH
Zip Code 27603

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Dataset Information

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.

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