Organization Active NPI

Major Impact, Inc.

  • Case Management Agency
  • Fort Myers, FL
National Provider Identifier
1104113810
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MAJOR IMPACT, INC.
Practice address
1960 Velasco St
Fort Myers, FL 33916-2761
Phone
(239) 226-4357
Fax
(239) 226-4352
NPI assigned
Jul 1, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

Name
Mr. Clayton Lambert Major Sr., M.S.
Title
Owner
Phone
(239) 822-8401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

1960 Velasco St
Fort Myers, FL 33916-2761

Mailing address

1960 Velasco St
Fort Myers, FL 33916-2761
Phone (239) 226-4357

National Provider Directory

National Provider Directory
Tax ID family
Major Impact Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1960 Velasco St
Fort Myers, FL 33916
Phone (239) 226-4357

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1104113810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1960 VELASCO ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162761",
            "telephone_number": "239-226-4357",
            "fax_number": "239-226-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 VELASCO ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339162761",
            "telephone_number": "239-226-4357",
            "fax_number": "239-226-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJOR IMPACT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "MAJOR",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "LAMBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-822-8401",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.