Impact Health Care Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

334266 Issued in MN

Legal business name

IMPACT HEALTH CARE SERVICES

Practice address

5901 Brooklyn Blvd
Suite 111
Brooklyn Center, MN 55429-2517

Phone

(763) 533-4374

NPI assigned

Nov 17, 2006

Organization subpart

No

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

Authorized official

Name

Philip Lelei

Title

Director

Phone

(763) 533-3436

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154495562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 BROOKLYN BLVD",
            "address_2": "SUITE 111",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292517",
            "telephone_number": "763-533-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 BROOKLYN BLVD",
            "address_2": "SUITE 111",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554292517",
            "telephone_number": "763-533-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPACT HEALTH CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LELEI",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "763-533-3436"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "334266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CLASS A LICENSE",
            "identifier": "334266",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nia J Ingram-Boynton
• Inspired Breakthrough
• Integrated Med Group PLLC
• Integrity Home Health Care LLC
• Molly Irsfeld, PHARMD

• Home Health Agency in Brooklyn Center, MN
• Providers in Brooklyn Center, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.