Intellectual Impressions LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

INTELLECTUAL IMPRESSIONS LLC

Practice address

7813 Beulah Church Rd Unit 110
Louisville, KY 40228-1773

Phone

(419) 973-7424

NPI assigned

Dec 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiffany Ann Hawthorne, RNNPI 1780558510

Title

Owner

Phone

(419) 973-7424

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany Hawthorne

  • Registered Nurse
  • Louisville, KY
  • NPI 1780558510
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1013555440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7813 BEULAH CHURCH RD UNIT 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402281773",
            "telephone_number": "419-973-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7813 BEULAH CHURCH RD UNIT 110",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402281773",
            "telephone_number": "419-973-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTELLECTUAL IMPRESSIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "HAWTHORNE",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-973-7424",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.