Impac

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

IMPAC

Doing business as

I.M.P.A.C. by Alternative Home Care Specialists, Inc.

Practice address

1531 Ambassador Caffery Pkwy
Lafayette, LA 70506-1825

Phone

(337) 233-0545

Fax

(337) 233-2490

NPI assigned

Apr 14, 2011

Last updated

Oct 4, 2022By 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

Mr. Carl Kephart

Title

Ceo

Phone

(337) 233-0545

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• I.M.P.A.C. by Alternative Home Care Specialists, Inc. Doing business as

Tax ID family

Alternative Home Care Specialists Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

• Alternative Home Care Specialists Inc

  • In Home Supportive Care Agency
  • Lafayette, LA
  • NPI 1184285710
  NPD tax ID
• Alternative Home Care Specialists, Inc.

  • Adult Companion
  • Lafayette, LA
  • NPI 1306136080
  NPD tax ID
• Alternative Home Care Specialists, Inc.

  • Personal Care Attendant
  • Lafayette, LA
  • NPI 1326187287
  NPD tax ID
• Alternative Home Care Specialists, Inc.

  dba I.M.P.A.C by Alternative Home Care Specialists, Inc.

  • Community/Behavioral Health Agency
  • Lafayette, LA
  • NPI 1487944161
  NPD tax ID
• Alternative Home Care Specialists, Inc.

  • Personal Care Attendant
  • Lafayette, LA
  • NPI 1578041844
  NPD tax ID
• Alternative Home Care Specialists, Inc.

  dba I.M.P.A.C. by Alternative Home Care Specialists, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Lafayette, LA
  • NPI 1679863351
  NPD tax ID

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1114217890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 ERASTE LANDRY RD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063046",
            "telephone_number": "337-233-0545",
            "fax_number": "337-233-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 AMBASSADOR CAFFERY PKWY",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705061825",
            "telephone_number": "337-233-0545",
            "fax_number": "337-233-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPAC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2022-10-04",
        "certification_date": "2022-10-04",
        "status": "A",
        "authorized_official_last_name": "KEPHART",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "337-233-0545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2132172",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "I.M.P.A.C. by Alternative Home Care Specialists, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "I.M.P.A.C. by Alternative Home Care Specialists, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Day Care Clinic/Center in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Adult Day Care Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2022; 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.