Active NPI
Impact Services LLC
- In Home Supportive Care Agency
- Brooklyn Park, MN
National Provider Identifier
1083549059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- IMPACT SERVICES LLC
- Practice address
- 3300 County Road 10 Ste 304K
Brooklyn Park, MN 55429-3066 - Phone
- (763) 432-9111
- Fax
- (855) 930-3685
- NPI assigned
- Jun 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Demenia Babysister Gbarbea, NP
- Title
- Administrator
- Phone
- (763) 432-9111
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
3300 County Road 10 Ste 304K
Brooklyn Park, MN 55429-3066
Mailing address
3300 County Road 10 Ste 304K
Minneapolis, MN 55429-3066
Phone (763) 432-9111
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Minneapolis, MN
- NPI 1962990184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781222400000",
"number": "1083549059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 COUNTY ROAD 10 STE 304K",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554293066",
"telephone_number": "763-432-9111",
"fax_number": "855-930-3685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3300 COUNTY ROAD 10 STE 304K",
"city": "BROOKLYN PARK",
"state": "MN",
"postal_code": "554293066",
"telephone_number": "763-432-9111",
"fax_number": "855-930-3685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMPACT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-12",
"last_updated": "2026-06-12",
"certification_date": "2026-06-12",
"status": "A",
"authorized_official_last_name": "GBARBEA",
"authorized_official_first_name": "DEMENIA",
"authorized_official_middle_name": "BABYSISTER",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "763-432-9111",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.