Impact Community Services, Inc.

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

Legal business name

IMPACT COMMUNITY SERVICES, INC.

Practice address

5631 NW 27TH CT
Lauderhill, FL 33313-2397

Phone

(954) 640-0340

Fax

(954) 640-0344

NPI assigned

Mar 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Paul Schauber, LCSW

Title

Executive Director

Phone

(954) 640-0340

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043287097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5631 NW 27TH CT",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333132397",
            "telephone_number": "954-640-0340",
            "fax_number": "954-640-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5631 NW 27TH CT",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333132397",
            "telephone_number": "954-640-0340",
            "fax_number": "954-640-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT COMMUNITY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHAUBER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "954-640-0340",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I Am Christian Counseling Service
• Ibiza Nevares, M.D. , P. a.
• Frank Iborra, A.P.
• Ilora
• Imd Mindcare Behavioral Health
• In Loving Care Family Services LLC
• Injury Physicians Network LLC
• Institute of Advance Medicine
• Interamerican Medical Center Group LLC (IMC Health)
• Intimate Apperal (Bras Plus)

• Emotionally Disturbed Childrens' Residential Treatment Facility in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.