NPIMap

Organization Active NPI

Impact Education and Consulting, LLC

Doing business as Impact Therapy & Health Services

  • Health Service Clinic/Center
  • Mason, OH
National Provider Identifier
1023756277
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
IMPACT EDUCATION AND CONSULTING, LLC
Doing business as
Impact Therapy & Health Services
Practice address
6338 Snider Rd
#104
Mason, OH 45040-5105
Phone
(321) 208-3891
NPI assigned
May 26, 2022
Last updated
May 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Authorized official

Name
Rollanda Moore, PTNPI 1083761514
Title
Director
Phone
(321) 208-3891

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU
Nursing Care Agency 251J00000X NU
Health Service Clinic/Center 261QH0100X NU Primary
Physical Therapy Clinic/Center 261QP2000X NU

Addresses

Primary practice location

6338 Snider Rd
#104
Mason, OH 45040-5105

Mailing address

6338 Snider Rd
#104
Mason, OH 45040-5105

Other names 1

  • Impact Therapy & Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Impact Education and Consulting LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6338 Snider Rd
Unit 104
Mason, OH 45040
Phone (321) 208-3891

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1023756277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6338 SNIDER RD",
            "address_2": "#104",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450405105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6338 SNIDER RD",
            "address_2": "#104",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450405105",
            "telephone_number": "321-208-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT EDUCATION AND CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-10",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "ROLLANDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "321-208-3891",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Impact Therapy & Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.