Organization Active NPI

Impact Home Care Solutions, LLC

  • In Home Supportive Care Agency
  • Goldsboro, NC
National Provider Identifier
1033846522
Registry record updated Jul 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
IMPACT HOME CARE SOLUTIONS, LLC
Practice address
200 W Ash St Ste 102
Goldsboro, NC 27530-3657
Phone
(919) 440-8713
NPI assigned
Aug 4, 2022
Last updated
Jul 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2025

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

Authorized official

Name
Crystal Little
Title
Director of Care
Phone
(919) 988-8145

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Home Infusion Agency 251F00000X NU
Community Based Hospice Care Agency 251G00000X NU
Nursing Care Agency 251J00000X NU
Respite Care 385H00000X NU
In Home Supportive Care Agency 253Z00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

200 W Ash St Ste 102
Goldsboro, NC 27530-3657

Mailing address

200 W Ash St Ste 102
Goldsboro, NC 27530-3657
Phone (919) 988-8145

National Provider Directory

National Provider Directory

Locations

200 W Ash St
Ste 102
Goldsboro, NC 27530
Phone (919) 394-6782

NPI Registry JSON

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

{
    "created_epoch": "1659571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1033846522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ASH ST STE 102",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303657",
            "telephone_number": "919-988-8145",
            "fax_number": "919-648-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ASH ST STE 102",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275303657",
            "telephone_number": "919-440-8713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT HOME CARE SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-04",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "LITTLE",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "DIRECTOR OF CARE",
        "authorized_official_telephone_number": "919-988-8145"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.