Organization Active NPI

Impact Systems Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Paoli, PA
National Provider Identifier
1063588176
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
IMPACT SYSTEMS INC.
Practice address
4 Beryl Rd
Paoli, PA 19301-1702
Phone
(610) 644-2927
Fax
(610) 296-7203
NPI assigned
Nov 28, 2006
Organization subpart
Yes
Parent organization
KEYSTONE HUMAN SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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

Authorized official

Name
Ms. Marcia Reynolds
Title
President
Phone
(610) 644-2927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

4 Beryl Rd
Paoli, PA 19301-1702

Mailing address

4 Beryl Rd
Paoli, PA 19301-1702
Phone (610) 644-2927

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/khs/r4/

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290124800000",
    "number": "1063588176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 BERYL RD",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011702",
            "telephone_number": "610-644-2927",
            "fax_number": "610-296-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 BERYL RD",
            "city": "PAOLI",
            "state": "PA",
            "postal_code": "193011702",
            "telephone_number": "610-644-2927",
            "fax_number": "610-296-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT SYSTEMS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KEYSTONE HUMAN SERVICES",
        "enumeration_date": "2006-11-28",
        "last_updated": "2010-11-19",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-644-2927",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paoli, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.