Impactful Care

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

IMPACTFUL CARE

Practice address

923 Haddonfield Rd Ste 300
Cherry Hill, NJ 08002-2752

Phone

(856) 581-3209

Fax

(856) 483-8035

NPI assigned

Jun 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Kiplee Telete Bell, PA-C

Title

Ceo

Phone

(856) 581-3209

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655424000000",
    "number": "1063141927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 HADDONFIELD RD STE 300",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022752",
            "telephone_number": "856-581-3209",
            "fax_number": "856-483-8035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 HADDONFIELD RD STE 300",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022752",
            "telephone_number": "856-581-3209",
            "fax_number": "856-483-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACTFUL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "KIPLEE",
        "authorized_official_middle_name": "TELETE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-581-3209",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0342572",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "impactfulcare.com",
            "affiliation": "N",
            "endpointDescription": "patient portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "923 Haddonfield Rd Ste 300",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080022752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marla Ikalina, MSW
• Nikki Ilustre, PT
• Immaculate Essential Care, LLC
• Immaculate Essential Care, LLC
• Immaculate Home Health Care, LLC
• Impactful Care Professional Services LLC
• Impactful Caregiving LLC
• Independence Rehab Services PC
• Indigo Therapy and Wellness
• Infectious Diseases Consultants of New Jersey PA

• Clinic/Center in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.