Impact Care Group

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IMPACT CARE GROUP

Practice address

25750 Stonycroft Dr
Southfield, MI 48033-5888

Phone

(248) 470-0299

NPI assigned

Oct 9, 2026

Last updated

Oct 9, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Doretha Jehan Ross

Title

Ceo/President

Phone

(248) 470-0299

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1063317253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25750 STONYCROFT DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335888",
            "telephone_number": "248-470-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25750 STONYCROFT DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480335888",
            "telephone_number": "248-470-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT CARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-08",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "DORETHA",
        "authorized_official_middle_name": "JEHAN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "248-470-0299",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.