Organization Active NPI

Imactful Love and Caare LLC

Doing business as impactfullloveandcarellc

  • Home Health Agency
  • Cockeysville, MD
National Provider Identifier
1063304897
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
IMACTFUL LOVE AND CAARE LLC
Doing business as
impactfullloveandcarellc
impactfulloveandcrellc
Practice address
615 Cranbrook Rd Apt E
Cockeysville, MD 21030-3845
Phone
(202) 300-1128
NPI assigned
Jul 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Mr. Joshua Kala Dubose, CEO
Title
Gna/Cna/CMT
Phone
(202) 300-1128

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC0400X
Home Health Agency 251E00000X Primary
Nursing Care Agency 251J00000X
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X

Addresses

Primary practice location

615 Cranbrook Rd Apt E
Cockeysville, MD 21030-3845

Mailing address

615 Cranbrook Rd Apt E
Cockeysville, MD 21030-3845
Phone (202) 300-1128

Other names 2

  • impactfullloveandcarellc Doing business as
  • impactfulloveandcrellc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1063304897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 CRANBROOK RD APT E",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303845",
            "telephone_number": "202-300-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 CRANBROOK RD APT E",
            "city": "COCKEYSVILLE",
            "state": "MD",
            "postal_code": "210303845",
            "telephone_number": "202-300-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMACTFUL LOVE AND CAARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "DUBOSE",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "KALA",
        "authorized_official_title_or_position": "GNA/CNA/CMT",
        "authorized_official_telephone_number": "202-300-1128",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "impactfullloveandcarellc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "impactfulloveandcrellc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cockeysville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.